Angela Marie Derosa, D.O.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

4223 Issued in AZ

Practice address

9377 E Bell Rd
Suite 361
Scottsdale, AZ 85260-1502

Phone

(480) 619-4097

Fax

(480) 619-4098

NPI assigned

Jul 25, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Jan 27, 2017 through Jan 27, 2027

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

Practice roles

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.

• Galen Medical Group, PC

  • Internal Medicine Physician
  • Hixson, TN
  • NPI 1346250057

  Family Medicine

  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1153785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1992728729",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12594 N 145TH WAY",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852592129",
            "telephone_number": "480-837-2045",
            "fax_number": "480-837-2035"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9377 E BELL RD",
            "address_2": "SUITE 361",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852601502",
            "telephone_number": "480-619-4097",
            "fax_number": "480-619-4098"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEROSA",
        "first_name": "ANGELA",
        "middle_name": "MARIE",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-25",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AZ",
            "license": "4223",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "006163-01",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dermatique, LTD
• Dermatology & Skin Surgery Specialists of Arizona, LLC
• Dermcall LLC
• Cheryl Marie Deroin, N.M.D.
• Derosa Medical, P.C.
• Michelle Sharon Derosa, OTR/L
• Ivette Derose, PHYSICAL THERAPIST
• Joseph Augustine Derose, D.P.M.
• Nicole M Derosier, FNP-BC
• Gail Bass Derscheid, O.D.

• Internal Medicine Physician in Scottsdale, AZ
• Providers in Scottsdale, AZ by specialty
• Internal Medicine Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.