Individual provider Active NPI

Frederick Richard Derubertis, MD

  • Endocrinology, Diabetes & Metabolism Physician
  • Pittsburgh, PA
National Provider Identifier
1881666386
Registry record updated Sep 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
License
MD008726E Issued in PA
Practice address
200 Lothrop Street
BST E-1140
Pittsburgh, PA 15261-0001
Phone
(412) 383-8700
NPI assigned
Feb 7, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 13, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X MD008726E PA
Endocrinology, Diabetes & Metabolism Physician 207RE0101X MD008726E PA Primary

Addresses

Primary practice location

200 Lothrop Street
BST E-1140
Pittsburgh, PA 15261-0001

Mailing address

200 Lothrop Street
BST E-1140
Pittsburgh, PA 15261-0001
Phone (412) 383-8700

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD008726EPAMDEndocrinology, Diabetes & Metabolism Physician

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1139270400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663027200000",
    "number": "1881666386",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 LOTHROP STREET",
            "address_2": "BST E-1140",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152610001",
            "telephone_number": "412-383-8700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 LOTHROP STREET",
            "address_2": "BST E-1140",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152610001",
            "telephone_number": "412-383-8700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DERUBERTIS",
        "first_name": "FREDERICK",
        "middle_name": "RICHARD",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-07",
        "last_updated": "2022-09-13",
        "certification_date": "2022-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "PA",
            "license": "MD008726E",
            "primary": false
        },
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "PA",
            "license": "MD008726E",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pittsburgh, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.