MICHELLE L DERUSSO M.D. NPI 1316471576

NPI Information

  • NPI: 1316471576
  • Provider Name: MICHELLE L DERUSSO, M.D.
  • Classification: Pediatrics - 2080P0203X
  • Specialization: Pediatric Critical Care Medicine
  • Entity Type: Individual
  • Address: 6621 FANNIN ST
    HOUSTON, TX
    ZIP 77030
  • Phone: (512) 789-5167

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NPI Details

Michelle L Derusso, M.D. is a pediatric critical care medicine pediatrics in Houston, TX. The provider is a pediatrician expert in advanced life support for children from the term or near-term neonate to the adolescent. This competence extends to the critical care management of life-threatening organ system failure from any cause in both medical and surgical patients and to the support of vital physiological functions. This specialist may have administrative responsibilities for intensive care units and also facilitates patient care among other specialists. Michelle L Derusso, M.D. NPI is 1316471576. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

6621 FANNIN ST
HOUSTON, TX
ZIP 77030-399
Phone: (512) 789-5167

The enumeration date for this NPI number is 4/14/2017 and was last updated on 9/15/2023.

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
12080P0203XPediatricsPediatric Critical Care Medicine227262NORTH CAROLINAYes

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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