DR. PATRICK DERBY DPM NPI 1073075222

NPI Information

  • NPI: 1073075222
  • Provider Name: DR. PATRICK DERBY, DPM
  • Classification: Podiatrist - 213E00000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 4700 N HABANA AVE STE 400
    TAMPA, FL
    ZIP 33614
  • Phone: (813) 499-0774

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NPI Details

DR. Patrick Derby, DPM is a podiatrist in Tampa, FL with 6 years of experience. The provider is a podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy. DR. Patrick Derby, DPM NPI is 1073075222. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: CALIFORNIA SCHOOL OF PODIATRIC MEDICINE
Graduation Year:2019

The provider's business location address is:

4700 N HABANA AVE STE 400
TAMPA, FL
ZIP 33614-119
Phone: (813) 499-0774

The NPI 1073075222 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA).

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Removal of fingernails or toenails, 6 or more nails (HCPCS:11721)
  • Lower limb (leg) arthroscopy (minimally invasive joint repair) (HCPCS:NAN15)

The enumeration date for this NPI number is 4/4/2019 and was last updated on 3/10/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1213EP1101XPodiatristPrimary Podiatric MedicinePO4422FLORIDANo
2213ES0000XPodiatristSports MedicinePO4422FLORIDANo
3213ES0103XPodiatristFoot & Ankle SurgeryPO4422FLORIDANo
4213ES0131XPodiatristFoot SurgeryPO4422FLORIDANo
5213E00000XPodiatristPO4422FLORIDAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1114530400MEDICAIDFLORIDA
215659126OTHERCAQH ID
36605657OTHERFLORIDAAETNA
4OPOAVOTHERFLORIDABCBS
57333506OTHERFLORIDACIGNA ID

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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