DEREK SROUJI
NPI 1003376880
Student in an Organized Health Care Education/Training Program in Tulsa, OK
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 Ssm Health St Anthony Hospital - Oklahoma City, and is a graduate of Oklahoma State University College Of Osteopathic Medicine (2019).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Derek Srouji is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignment
Medicare enrollment records show Derek Srouji reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Oklahoma City, OK 73116
- Reassigned Medicare billing, Oklahoma enrollment
- 507 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Hospital Affiliations CMS Care Compare 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Ssm Health St Anthony Hospital - Oklahoma City
Acute Care Hospitals · Oklahoma City, OKSaint Francis Hospital, Inc
Acute Care Hospitals · Tulsa, OKOther Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
TULSA, OK 74127
TULSA, OK 74127
TULSA, OK 74127
TULSA, OK 74127
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 system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organization bills Medicare for Derek Srouji's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Derek Srouji reassigns Medicare benefits to Saints Medical Group, LLC (Oklahoma City, OK). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Derek Srouji's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Derek Srouji accept?
Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Sunflower Health Plan, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 1 other insurer list Derek Srouji as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
Is Derek Srouji affiliated with any hospitals?
According to CMS data, Derek Srouji is affiliated with Ssm Health St Anthony Hospital - Oklahoma City and 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 23 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.
# Derek Srouji · NPI 1003376880
Student in an Organized Health Care Education/Training Program provider in Tulsa, Oklahoma. Individual provider, active in the CMS NPPES registry since March 20, 2019.
## Identity
- **NPI:** 1003376880 (Entity type: Individual)
- **Enumerated:** March 20, 2019
- **Primary specialty:** Student in an Organized Health Care Education/Training Program · taxonomy 390200000X
- **Sole proprietor:** No
## Practice location
- **Address:** 744 W 9TH ST, Tulsa, OK 74127-9020
- **Phone:** (405) 323-9423
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Saints Medical Group, LLC (NPI 1437195922, Oklahoma City, OK), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Oklahoma State University College Of Osteopathic Medicine, class of 2019
## Record status
- **NPPES last updated:** November 5, 2024
---
Source: [NPI Profile](https://npiprofile.com/npi/1003376880) · Data from the CMS NPPES public registry.