Active NPI
Hector Derreza, MD
- Internal Medicine Physician
- Newport, RI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- MD09842
- Practice address
- 11 Friendship St
Newport, RI 02840-2299 - Phone
- (401) 845-1281
- NPI assigned
- Oct 26, 2005
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | MD09842 | RI | Primary |
| Hospitalist Physician | 208M00000X | 230886 | MA | |
| Internal Medicine Physician | 207R00000X | 230886 | MA |
Addresses
Primary practice location
11 Friendship St
Newport, RI 02840-2299
Mailing address
200 Mill Rd
Ste 180
Fairhaven, MA 02719-5252
Phone (508) 973-2000
Other practice location 1
164 Summit Ave
Providence, RI 02906-2894
Phone (401) 793-4489
Other practice location 2
101 Page St
New Bedford, MA 02740-3464
Phone (508) 973-5919
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 110077129A | Medicaid | MA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in RI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040706000005 | RI | Practitioner - Internal Medicine | 0244217503 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 1991
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Lifespan Physician Group Inc
Practice addresses (Care Compare)
11 Friendship St
Newport, RI 02840-2209
Phone (401) 846-6400
185 A High Service Ave
North Providence, RI 02904-5114
Phone (401) 354-6050
185 High Service Ave
North Providence, RI 02904-5114
Phone (401) 354-6050
Hospital & facility affiliations
- Newport Hospital
- Rhode Island Hospital
- Newport Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 230886 | MA | MD | Internal Medicine Physician |
| MD09842 | RI | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lifespan Physician Group, Inc. | Current | Accepting new patients | |
| Lifespan Physician Group, Inc. | Current | Accepting new patients | |
| Southcoast Physicians Group, Inc. | Past | Accepting new patients |
Locations
11 Friendship St
Newport, RI 02840
Phone (401) 845-1110
185A High Service Ave
North Providence, RI 02904
Phone (401) 354-6050
79 Turnpike Ave
Portsmouth, RI 02871
Phone (401) 683-7434
164 Summit Ave
Providence, RI 02906
Phone (401) 793-2104
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.
-
- Anesthesiology Physician
- Providence, RI
- NPI 1053782466
-
- Urgent Care Clinic/Center
- Warwick, RI
- NPI 1285191163
-
- Psychiatry Physician
- Providence, RI
- NPI 1548506793
-
- Emergency Medicine Physician
- Providence, RI
- NPI 1568325678
-
- Sleep Medicine (Internal Medicine) Physician
- North Dartmouth, MA
- NPI 1760892178
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Rehabilitation Hospital Unit
- Newport, RI
- NPI 1578652434
Inpatient rehabilitation facility
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1130284800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1774396800000",
"number": "1992795355",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 MILL RD",
"address_2": "STE 180",
"city": "FAIRHAVEN",
"state": "MA",
"postal_code": "027195252",
"telephone_number": "508-973-2000",
"fax_number": "508-973-2001"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11 FRIENDSHIP ST",
"city": "NEWPORT",
"state": "RI",
"postal_code": "028402299",
"telephone_number": "401-845-1281"
}
],
"practiceLocations": [
{
"address_1": "164 Summit Ave",
"address_purpose": "LOCATION",
"city": "Providence",
"state": "RI",
"postal_code": "029062894",
"country_code": "US",
"telephone_number": "401-793-4489",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "101 Page St",
"address_purpose": "LOCATION",
"city": "New Bedford",
"state": "MA",
"postal_code": "027403464",
"country_code": "US",
"telephone_number": "508-973-5919",
"fax_number": "508-973-5916",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DERREZA",
"first_name": "HECTOR",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-10-26",
"last_updated": "2026-03-25",
"certification_date": "2026-03-25",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "RI",
"license": "MD09842",
"primary": true
},
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "MA",
"license": "230886",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MA",
"license": "230886",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "110077129A",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Newport, RI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 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.