DOMINIC DERENGE D.O.
NPI 1033598339
Family Medicine in Philadelphia, PA
About Dominic Derenge D.o. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DOMINIC DERENGE D.O. (NPI 1033598339) is an individual family medicine provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (OS019248) and active in the NPI registry since May 2015. He is enrolled in Medicare PECOS, maintains a secondary practice location in Springfield, and is a graduate of Other (2015).
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Other Identifiers 3
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Dominic Derenge D.o. 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 19140 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
PHILADELPHIA, PA 19140
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 Dominic Derenge's NPI number?
The NPI number for Dominic Derenge is 1033598339. It was assigned to this individual provider in the NPPES registry on May 20, 2015.
Where is Dominic Derenge located?
Dominic Derenge practices at 4417 N 6th St, Philadelphia, PA 19140. The listed phone number is (215) 302-6000.
What is Dominic Derenge's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Dominic Derenge enrolled in Medicare?
Yes. Dominic Derenge 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.
When was this NPI record last updated?
The NPPES record for Dominic Derenge was last updated on October 10, 2018. 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.
# Dominic Derenge, D.O. · NPI 1033598339
Family Medicine physician in Philadelphia, Pennsylvania. Individual provider, active in the CMS NPPES registry since May 20, 2015.
## Identity
- **NPI:** 1033598339 (Entity type: Individual)
- **Enumerated:** May 20, 2015
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** OS019248 (Pennsylvania)
- **Sole proprietor:** No
## Practice location
- **Address:** 4417 N 6TH ST, Philadelphia, PA 19140-2319
- **Phone:** (215) 302-6000
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Other, class of 2015
## Record status
- **NPPES last updated:** October 10, 2018
- **Other identifiers:** Medicaid 1034592020002 (PA); Medicaid 1034592020003 (PA); Medicaid 1034592020004 (PA)
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Source: [NPI Profile](https://npiprofile.com/npi/1033598339) · Data from the CMS NPPES public registry.