DR. TREVOR JOHN DERDERIAN M.D. NPI 1124346697

NPI Information

  • NPI: 1124346697
  • Provider Name: DR. TREVOR JOHN DERDERIAN, M.D.
  • Classification: Surgery - 2086S0129X
  • Specialization: Vascular Surgery
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 71780 SAN JACINTO DR BLDG I
    RANCHO MIRAGE, CA
    ZIP 92270
  • Phone: (760) 568-3461

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NPI Details

DR. Trevor John Derderian, M.D. is a vascular surgery surgery in Rancho Mirage, CA with 16 years of experience. The provider is a surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. DR. Trevor John Derderian, M.D. NPI is 1124346697. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

71780 SAN JACINTO DR BLDG I
RANCHO MIRAGE, CA
ZIP 92270-516
Phone: (760) 568-3461

The NPI 1124346697 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), Power Mobility Devices.

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.

  • Ultrasound study of arm and leg arteries (HCPCS:93922)
  • Ultrasound of both sides of head and neck blood flow (HCPCS:93880)
  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Ultrasound of leg arteries or artery grafts (HCPCS:93925)
  • Ultrasound study of arm or leg veins with compression and maneuvers (HCPCS:93970)
  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • Use of a drug to induce depression of consciousness by physician performing a procedure (5 years or older), initial 15 minutes (HCPCS:99152)
  • Ultrasonic guidance during surgery (HCPCS:76998)
  • Use of a drug to induce depression of consciousness by physician performing a procedure, each additional 15 minutes (HCPCS:99153)
  • Ultrasound study of one arm or leg veins with compression and maneuvers (HCPCS:93971)
  • Ultrasound evaluation of blood vessel with review by radiologist, each additional vessel (HCPCS:37253)
  • Ultrasound evaluation of blood vessel with review by radiologist, initial vessel (HCPCS:37252)
  • New patient office or other outpatient visit, 30-44 minutes (HCPCS:99203)
  • Review by radiologist of arm or leg artery image (HCPCS:75710)
  • Ultrasound of hemodialysis access (HCPCS:93990)
  • Insertion of needle or tube into artery of arm or leg (HCPCS:36140)
  • New patient office or other outpatient visit, 45-59 minutes (HCPCS:99204)
  • Complete ultrasound of artery and vein blood flow pre-op assessment on both sides of body for hemodialysis access (HCPCS:93985)
  • Insertion of needle and/or tube into hemodialysis circuit and balloon dilation of dialysis segment with review by radiologist (HCPCS:36902)
  • Ultrasound of one leg arteries or artery grafts (HCPCS:93926)
  • Complete ultrasound of aorta, vena cava, groin vessels or bypass grafts (HCPCS:93978)
  • Insertion of tube into chest or arm artery, initial second order branch (HCPCS:36216)
  • Initial hospital inpatient care per day, typically 70 minutes (HCPCS:99223)
  • Chemical destruction of first incompetent vein of arm or leg using imaging guidance (HCPCS:36482)
  • Insertion of tube into internal neck artery for diagnosis or treatment with review by radiologist (HCPCS:36224)
  • Measurement of brain wave activity (eeg), 41-60 minutes (HCPCS:95812)
  • Insertion of stent and blood clot protection device in neck artery with review by radiologist (HCPCS:37215)
  • Repair of blood vessel of leg with graft (HCPCS:35286)
  • Transitional care management services for problem of high complexity (HCPCS:99496)
  • Insertion of tube into abdominal, pelvic, or leg artery, initial second order branch (HCPCS:36246)
  • Insertion of tube into abdominal, pelvic, or leg artery, initial third order branch (HCPCS:36247)
  • Review by radiologist of abdominal aorta and both leg arteries image (HCPCS:75630)
  • Removal of tunneled central venous tube (HCPCS:36589)
  • Relocation of arm vein with connection to arm artery for hemodialysis (HCPCS:36821)
  • Ct scan of blood vessels of neck with contrast (HCPCS:70498)
  • Balloon dilation of dialysis segment with review by radiologist (HCPCS:36907)
  • Review by radiologist of arm or leg artery image (HCPCS:75710)
  • Insertion of needle or tube into artery of arm or leg (HCPCS:36140)
  • Insertion of needle and/or tube into hemodialysis circuit with review by radiologist (HCPCS:36901)
  • Removal of plaque in artery of leg, initial vessel (HCPCS:37229)
  • Repair of blood vessel of leg with graft (HCPCS:35286)
  • Ct scan of blood vessels of abdomen and pelvis with contrast (HCPCS:74174)
  • Removal of plaque and insertion of stents in arteries of leg (HCPCS:37227)
  • Insertion of tube into abdominal, pelvic, or leg artery, initial second order branch (HCPCS:36246)
  • Insertion of tube into abdominal, pelvic, or leg artery, initial third order branch (HCPCS:36247)
  • Ultrasound of leg arteries or artery grafts (HCPCS:93925)
  • Ultrasonic guidance during surgery (HCPCS:76998)
  • Review by radiologist of 1 arm or leg vein of 1 arm or leg image (HCPCS:75820)
  • Review by radiologist of abdominal aorta and both leg arteries image (HCPCS:75630)
  • Removal of plaque in artery of leg, each additional vessel (HCPCS:37233)
  • Revision of hemodialysis graft (HCPCS:36832)
  • Varicose vein removal (HCPCS:NAN08)
  • Leg revascularization (restoring blood flow) (HCPCS:NAN01)

The enumeration date for this NPI number is 5/9/2010 and was last updated on 11/7/2025.

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
12086S0129XSurgeryVascular Surgery148584CALIFORNIAYes

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: 11/21/2025

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