Individual provider Active NPI

Robert J Derick, MD

  • Ophthalmology Physician
  • Lima, OH
National Provider Identifier
1922076181
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
55895 Issued in OH
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

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
L0837689MedicaidOH

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041101000707 OH Practitioner - Ophthalmology 2264494350 Reassigns benefits to 1 organization

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
Cei Physicians PSC, LLCGroup PAC ID 0749186427, 155 clinicians

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 100Reported as apm
Quality
86.02
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery116

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
55895OHMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cei Physicians PSC LLC Ophthalmology CurrentSince Apr 1, 2021 Accepting new patients
Cei Physicians PSC, LLC CurrentSince Apr 1, 2021 Accepting new patients
Osu Eye Physicians and Surgeons LLC Ophthalmology PastSince Sep 1, 2017 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

  • Direct secure messaging: robert.derick.p1@direct.cei.nextgenshare.com
  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.