Active NPI
Robert Derenbecker, MD
- Clinical Cardiac Electrophysiology Physician
- Hammond, LA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Cardiac Electrophysiology Physician
- License
- 345182
- Practice address
- 15813 Paul Vega MD Dr Ste 403
Hammond, LA 70403-1426 - Phone
- (985) 230-7350
- Fax
- (985) 230-7351
- NPI assigned
- Mar 23, 2017
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | MD.39344 | AL | |
| Clinical Cardiac Electrophysiology Physician | 207RC0001X | 345182 | LA | Primary |
Addresses
Primary practice location
15813 Paul Vega MD Dr Ste 403
Hammond, LA 70403-1426
Mailing address
PO Box 2668
Hammond, LA 70404-2668
Phone (985) 230-1682
Other practice location 1
1808 7th Avenue South Bdb 201
Birmingham, AL 35294-0010
Phone (205) 934-0820
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in LA
- 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
- Cardiac Electrophysiology
- Education
- Louisiana State University School of Medicine in New Orleans, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
15813 Paul Vega MD Dr
Suite 402
Hammond, LA 70403-1426
Phone (985) 230-7350
Hospital & facility affiliations
- North Oaks Medical Center
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Pacemaker insertion or repair | 26 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD.39344 | AL | MD | Cardiovascular Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| North Oaks Medical Center, LLC | Current | Accepting new patients | |
| North Oaks Physician Group, LLC | Current | Accepting new patients |
Locations
15813 Paul Vega Md Dr
Ste 403
Hammond, LA 70403
Phone (985) 230-7350
15813 Paul Vega Md Dr
Ste 402
Hammond, LA 70403
Phone (985) 230-7350
15790 Paul Vega Md Dr
Hammond, LA 70403
Phone (985) 230-1682
15813 Paul Vega Md Dr
Ste 200
Hammond, LA 70403
Phone (985) 230-7650
15813 Paul Vega Md Dr
Hammond, LA 70403
Organizations & group practices 2
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.
-
- General Acute Care Hospital
- Hammond, LA
- NPI 1972630705
-
- Multi-Specialty Clinic/Center
- Hammond, LA
- NPI 1427035211
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Rural Acute Care Hospital
- Hammond, LA
- NPI 1144227539
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1490227200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1745798400000",
"number": "1962933796",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2668",
"city": "HAMMOND",
"state": "LA",
"postal_code": "704042668",
"telephone_number": "985-230-1682",
"fax_number": "985-230-6652"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15813 PAUL VEGA MD DR STE 403",
"city": "HAMMOND",
"state": "LA",
"postal_code": "704031426",
"telephone_number": "985-230-7350",
"fax_number": "985-230-7351"
}
],
"practiceLocations": [
{
"address_1": "1808 7th Avenue South Bdb 201",
"address_purpose": "LOCATION",
"city": "Birmingham",
"state": "AL",
"postal_code": "352940010",
"country_code": "US",
"telephone_number": "205-934-0820",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DERENBECKER",
"first_name": "ROBERT",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-03-23",
"last_updated": "2025-04-28",
"certification_date": "2025-04-28",
"status": "A"
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "AL",
"license": "MD.39344",
"primary": false
},
{
"code": "207RC0001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Clinical Cardiac Electrophysiology",
"state": "LA",
"license": "345182",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hammond, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2025; 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.