Active NPI
Robert J Derick, MD
- Ophthalmology Physician
- Lima, OH
National Provider Identifier
1922076181
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- 55895
- Practice address
- 855 W Market St
Ste a
Lima, OH 45805 - Phone
- (419) 228-7432
- Fax
- (419) 228-5628
- NPI assigned
- Mar 14, 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 |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | 55895 | OH | Primary |
Addresses
Primary practice location
855 W Market St
Ste a
Lima, OH 45805
Mailing address
855 W Market St
Ste a
Lima, OH 45805
Phone (419) 228-7432
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| L0837689 | Medicaid | OH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Ophthalmology
- Education
- University of Illinois College of Med (CHI/Peor/Rock/CHM-Urb), 1986
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
5965 E Broad St
Suite 480
Columbus, OH 43213-1562
Phone (614) 526-6203
Merit-based Incentive Payment System (MIPS)
- Final score
- 93.01 of 100
- Quality
- 86.02
- Promoting interoperability
- 100
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 116 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 55895 | OH | MD | Ophthalmology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cei Physicians PSC LLC | Ophthalmology | Current | Accepting new patients |
| Cei Physicians PSC, LLC | Current | Accepting new patients | |
| Osu Eye Physicians and Surgeons LLC | Ophthalmology | Past | Accepting new patients |
| Lima Memorial Joint Operating Company | Past | Accepting new patients | |
| Cei Physicians PSC LLC | Past | Accepting new patients | |
| Ohio State University Hospitals | Past | Accepting new patients |
Locations
1945 Cei Dr
Blue Ash, OH 45242
5965 E Broad St
Ste 480
Columbus, OH 43213
Phone (614) 751-4070
5155 Bradenton Ave
Ste 200
Dublin, OH 43017
Phone (614) 526-6209
Interoperability endpoints
- robert.derick.p1@direct.cei.nextgenshare.com
- rderick1611768@direct.trinity-health.org
Organizations & group practices 6
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.
-
- Ophthalmology Physician
- Cincinnati, OH
- NPI 1942296298
-
- Ambulatory Surgical Clinic/Center
- Richmond Heights, OH
- NPI 1891406328
-
- Ophthalmologic Surgery Clinic/Center
- Blue Ash, OH
- NPI 1790772804
-
- General Acute Care Hospital
- Lima, OH
- NPI 1336144732
-
- General Acute Care Hospital
- Columbus, OH
- NPI 1447359997
-
- Ophthalmology Physician
- Columbus, OH
- NPI 1861437923
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1142294400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1922076181",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "855 W MARKET ST",
"address_2": "STE A",
"city": "LIMA",
"state": "OH",
"postal_code": "45805",
"telephone_number": "419-228-7432",
"fax_number": "419-228-5628"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "855 W MARKET ST",
"address_2": "STE A",
"city": "LIMA",
"state": "OH",
"postal_code": "45805",
"telephone_number": "419-228-7432",
"fax_number": "419-228-5628"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DERICK",
"first_name": "ROBERT",
"middle_name": "J",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-14",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "OH",
"license": "55895",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "L0837689",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lima, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.