Active NPI
Lawrence Derbes Jr., MD
- Cardiovascular Disease Physician
- Sandpoint, ID
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- M-15859
- Practice address
- 423 N Third Ave Ste 355
Sandpoint, ID 83864-1511 - Phone
- (208) 265-7070
- Fax
- (208) 265-7071
- NPI assigned
- Sep 22, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | M-15859 | ID | Primary |
Addresses
Primary practice location
423 N Third Ave Ste 355
Sandpoint, ID 83864-1511
Mailing address
2003 Kootenai Health Way
Coeur D Alene, ID 83814-6051
Phone (208) 265-7070
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 578833-01 | Medicaid | HI | |
| 536740 | Other | HI | HMN |
| 279541 | Other | HI | UHA |
| 0000242511 | Other | HI | HMSA |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | lderbes609824@direct.multicare.org |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ID, MS
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Cardiovascular Disease (Cardiology)
- Education
- Louisiana State University School of Medicine in New Orleans, 1985
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
149 Drinkwater Rd
Bay Saint Louis, MS 39520-1658
Phone (504) 842-4431
15190 Community Rd
Gulfport, MS 39503-3485
Phone (228) 539-7044
4540 Shepherd SQ
Diamondhead, MS 39525-3325
Phone (228) 255-8216
4550 Shepherd SQ
Diamondhead, MS 39525-3325
Phone (228) 255-8216
Hospital & facility affiliations
- Ochsner Medical Center-Hancock
- Bonner General Hospital
- Boundary Community Hospital
- Ochsner Medical Center Acute
- Kootenai Health
Merit-based Incentive Payment System (MIPS)
- Final score
- 86.65 of 100
- Quality
- 89.26
- Promoting interoperability
- 69.9
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| M-15859 | ID | MD | Cardiovascular Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Boundary Community Hospital | Current | Accepting new patients | |
| Boundary Community Hospital | Current | Accepting new patients | |
| Alii Community Care, Inc | Current | Accepting new patients | |
| Ochsner Mississippi, LLC | Current | Accepting new patients | |
| Ochsner Mississippi, LLC | Current | Accepting new patients | |
| Ochsner Clinic LLC | Past | Accepting new patients | |
| Alii Health Center | Past | Accepting new patients | |
| Boundary Community Hospital | Cardiovascular Disease | Past | Accepting new patients |
Locations
78-6831 Alii Dr
Ste 328
Kailua Kona, HI 96740
Phone (808) 747-8321
6640 Kaniksu St
Bonners Ferry, ID 83805
Phone (208) 267-3141
149 Drinkwater Rd
Bay St Louis, MS 39520
Phone (228) 467-8600
Interoperability endpoints
- lderbes2470174@direct.ochsner.org
- lderbes609824@direct.multicare.org
- lawrence.derbes@hawaiihie.medicity.net
Organizations & group practices 8
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Internal Medicine Physician
- Bay Saint Louis, MS
- NPI 1538674239
-
- Critical Access Hospital
- Bonners Ferry, ID
- NPI 1801896683
-
- Rural Health Clinic/Center
- Bonners Ferry, ID
- NPI 1801273552
-
- General Practice Physician
- Kailua Kona, HI
- NPI 1114127859
-
- Internal Medicine Physician
- Diamondhead, MS
- NPI 1316662059
-
- Emergency Medical Services (Emergency Medicine) Physician
- Bonners Ferry, ID
- NPI 1679621098
Cardiovascular Disease
-
- Urology Physician
- Kailua Kona, HI
- NPI 1225620321
-
- Registered Dietitian
- Covington, LA
- NPI 1013747039
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Sandpoint, ID
- NPI 1154563963
-
- Critical Access Hospital
- Bonners Ferry, ID
- NPI 1801896683
-
- General Acute Care Hospital
- Coeur D Alene, ID
- NPI 1992798409
-
- General Acute Care Hospital
- New Orleans, LA
- NPI 1811973100
-
- General Acute Care Hospital
- Bay Saint Louis, MS
- NPI 1588629968
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158883200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1714521600000",
"number": "1902906787",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2003 KOOTENAI HEALTH WAY",
"city": "COEUR D ALENE",
"state": "ID",
"postal_code": "838146051",
"telephone_number": "208-265-7070",
"fax_number": "208-265-7071"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "423 N THIRD AVE STE 355",
"city": "SANDPOINT",
"state": "ID",
"postal_code": "838641511",
"telephone_number": "208-265-7070",
"fax_number": "208-265-7071"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DERBES",
"first_name": "LAWRENCE",
"name_suffix": "Jr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-22",
"last_updated": "2024-05-01",
"certification_date": "2024-05-01",
"status": "A"
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "ID",
"license": "M-15859",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "578833-01",
"state": "HI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HMN",
"identifier": "536740",
"state": "HI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UHA",
"identifier": "279541",
"state": "HI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HMSA",
"identifier": "0000242511",
"state": "HI"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "lderbes609824@direct.multicare.org",
"affiliation": "N",
"address_1": "423 N Third Ave Ste 355",
"city": "Sandpoint",
"state": "ID",
"country_code": "US",
"postal_code": "838641511",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Sandpoint, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.