JOSE J. DERDOY, MD, LLC
NPI 1003383258
Pediatrics - Pediatric Gastroenterology in Creve Coeur, MO

Active since October 25, 2018
845 N NEW BALLAS CT STE 330, CREVE COEUR, MO 63141(314) 744-9078 Get Directions Write a Review

NPPES record last updated: June 11, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 11, 2019, Oct 25, 2018 (2 updates tracked since 2018).

About Jose J. Derdoy, Md, Llc NPPES

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

JOSE J. DERDOY, MD, LLC (NPI 1003383258) is a healthcare organization registered as a pediatric gastroenterology in Creve Coeur, Missouri and active in the NPI registry since October 2018. The organization lists Jose J Derdoy, Owner/president, as its authorized official.

NPPES Registry Identity

NPI1003383258
Entity TypeOrganization
Primary Taxonomy2080P0206X
Legal Business NameJOSE J. DERDOY, MD, LLC
Location Address845 N NEW BALLAS CT STE 330Creve Coeur, MO 63141-7169
Mailing Address845 N New Ballas Ct Ste 330Creve Coeur, MO 63141-7169 · (314) 744-9078
Organization SubpartNo
Authorized OfficialJose J DerdoyOwner/president · (314) 744-9078
Enumeration DateOctober 25, 2018
Last NPPES UpdateJune 11, 20192 updates tracked since enumeration
NPI 1003383258 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPediatrics · Pediatric GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code2080P0206X
Definition
A pediatrician who specializes in the diagnosis and treatment of diseases of the digestive systems of infants, children and adolescents. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using lighted scopes to see internal organs.
845 N NEW BALLAS CT STE 330, Creve Coeur, MO 63141

Other Identifiers 1

Other000000000Dont Have Such Number

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

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 Jose J. Derdoy, MD, LLC's NPI number?

The NPI number for Jose J. Derdoy, MD, LLC is 1003383258. It was assigned to this organization in the NPPES registry on October 25, 2018.

Where is Jose J. Derdoy, MD, LLC located?

Jose J. Derdoy, MD, LLC is located at 845 N New Ballas Ct Ste 330, Creve Coeur, MO 63141. The listed phone number is (314) 744-9078.

What is Jose J. Derdoy, MD, LLC's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Gastroenterology, with taxonomy code 2080P0206X.

What insurance does Jose J. Derdoy, MD, LLC accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health and Ambetter from Sunflower Health Plan and 3 other insurers list Jose J. Derdoy, MD, LLC 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.

When was this NPI record last updated?

The NPPES record for Jose J. Derdoy, MD, LLC was last updated on June 11, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years 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.