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DEREK SROUJI
NPI 1003376880
Student in an Organized Health Care Education/Training Program in Tulsa, OK

Active since March 20, 2019PECOS Enrolled

NPPES record last updated: November 5, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 5, 2024, Mar 20, 2019 (2 updates tracked since 2019).

About Derek Srouji NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DEREK SROUJI (NPI 1003376880) is an individual student in an organized health care education/training program in Tulsa, Oklahoma and active in the NPI registry since March 2019. He is enrolled in Medicare PECOS, is affiliated with Saint Francis Hospital, Inc, and is a graduate of Oklahoma State University College Of Osteopathic Medicine (2019).

NPPES Registry Identity

NPI1003376880
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameDEREK SROUJI
Location Address744 W 9TH STTulsa, OK 74127-9020
Mailing Address717 S Houston Ave Ste 400Tulsa, OK 74127-9007 · (918) 582-7711
Phone(405) 323-9423
Sole ProprietorNo
Medical School CMSOklahoma State University College Of Osteopathic MedicineGraduated 2019
Enumeration DateMarch 20, 2019
Last NPPES UpdateNovember 5, 20242 updates tracked since enumeration
NPPES CertifiedNovember 5, 2024
✔ NPI 1003376880 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
744 W 9TH ST, Tulsa, OK 74127
Open in Google Maps ↗

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Derek Srouji is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID3971072133
PECOS Enrollment IDI20260516000335
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Saint Francis Hospital, Inc

Acute Care Hospitals · Tulsa, OK
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number370091
Location6161 South YaleTulsa, OK 74136 · Tulsa County
Emergency services Birthing friendly

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

OKLAHOMA STATE UNIVERSITY MEDICAL CENTER TRUST
Clinic/Center (Medical Specialty)
744 W 9TH ST
TULSA, OK 74127
Osage County (918) 587-2561
DR. LEILA DANIELLE SEE D.O.
General Practice
744 W 9TH ST
TULSA, OK 74127
Osage County (981) 599-5031
WILLIAM BARRETT
Student in an Organized Health Care Education/Training Program
744 W 9TH ST
TULSA, OK 74127
Osage County (918) 599-1000
DR. JUDITH WOLFSTEIN M.D.
Radiology (Diagnostic Radiology)
744 W 9TH ST
TULSA, OK 74127
Osage County (918) 728-6194
KIMBERLIE K DULLYE MD
Anesthesiology
744 W 9TH ST
TULSA, OK 74127
Osage County (918) 587-2561
MR. SEAN WILLIAM MEADOWS R.D.
Dietitian, Registered
744 W 9TH ST
TULSA, OK 74127
Osage County (918) 587-2561
ALEXANDER DOUGLAS
Student in an Organized Health Care Education/Training Program
744 W 9TH ST
TULSA, OK 74127
Osage County (918) 599-1000
DEVIN LEE HASTY DO
Student in an Organized Health Care Education/Training Program
744 W 9TH ST
TULSA, OK 74127
Osage County (918) 599-1000

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Derek Srouji's NPI number?

The NPI number for Derek Srouji is 1003376880. It was assigned to this individual provider in the NPPES registry on March 20, 2019.

Where is Derek Srouji located?

Derek Srouji practices at 744 W 9th St, Tulsa, OK 74127. The listed phone number is (405) 323-9423.

What is Derek Srouji's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Derek Srouji enrolled in Medicare?

Yes. Derek Srouji is registered in the Medicare PECOS enrollment system.

Is Derek Srouji affiliated with any hospitals?

According to CMS data, Derek Srouji is affiliated with Saint Francis Hospital, Inc.

When was this NPI record last updated?

The NPPES record for Derek Srouji was last updated on November 5, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.