Henry Daniel Derbes III, MD
Individual provider Active NPI General Practice Physician · Satanta, KS
NPI 1912434978 · NPPES record last updated Nov 5, 2024
Key facts
- NPI
- 1912434978
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Physician 208D00000X
- License
- 34900 (NE)
- Practice address
- 401 Cheyenne
Satanta, KS 67870-8748 - Phone
- (620) 682-8414
- Fax
- (620) 649-2538
- NPI assigned
- May 20, 2017
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 11
Hospital & facility affiliations 5
Medicare Care Compare profile
- Specialty
- General Practice
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Satanta District Hospital and Long-Term Care
Practice addresses (Care Compare)
401 Cheyenne
Satanta, KS 67870-8748
410 Cheyenne
Satanta, KS 67870-8748
Phone (620) 649-2771
Hospital & facility affiliations
- Satanta District Hospital, Clinics, & Ltcu
- Jefferson Medical Center
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in WV, KS
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230724000718 | WV | Practitioner - General Practice | 7911389622 | |
| I20240610001907 | KS | Practitioner - General Practice | 7911389622 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 34900 | NE | MD | General Practice Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Satanta District Hospital and Long-Term Care | Current | Accepting new patients | |
| Satanta District Hospital and Long-Term Care | Current |
Accepting new patients | |
| Satanta District Hospital and Long-Term Care | Current |
Accepting new patients | |
| Frederick Health Hospital Inc | Past | Accepting new patients | |
| Michigan Medical Patient Care | Past | Accepting new patients | |
| Satanta District Hospital and Long-Term Care | Past |
Accepting new patients | |
| Satanta District Hospital and Long-Term Care | Past | Accepting new patients |
Locations
410 Cheyenne
Satanta, KS 67870
Phone (620) 649-2761
401 Cheyenne
Satanta, KS 67870
Phone (620) 649-2200
401 Cheyenne
Ste 159
Satanta, KS 67870
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | 32695 | WV | |
| General Practice Physician | 208D00000X | 04-49203 | KS | |
| General Practice Physician | 208D00000X | 34900 | NE | Yes |
Addresses
Primary practice location
401 Cheyenne
Satanta, KS 67870-8748
Mailing address
PO Box 9
Satanta, KS 67870-0009
Phone (620) 682-4971
Other providers in Satanta, KS
- Melanie Brooke Brewer
- John Irwin Brown
- Avery Dawn Burns
- Kilah Danielle Dunn
- Mercedes Sierra Fanning
- Christopher Jeff Gardner
- Myrna Louise Gumpenberger
- Janet K. Kado
All providers in Satanta, KS · General Practice Physician in Kansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 5, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.