DEREK MEDEIROS R.T, R.R.A, R.P.A
NPI 1053855296
Radiology Practitioner Assistant in Charlotte, NC

Active since December 07, 2016
6836 MORRISON BLVD STE 101, CHARLOTTE, NC 28211(704) 817-0821(704) 817-0835 Get Directions Write a Review

NPPES record last updated: December 7, 2016. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Derek Medeiros R.t, R.r.a, R.p.a NPPES

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

DEREK MEDEIROS R.T, R.R.A, R.P.A (NPI 1053855296) is an individual radiology practitioner assistant in Charlotte, North Carolina, licensed in Massachusetts (15MA1496) and active in the NPI registry since December 2016.

NPPES Registry Identity

NPI1053855296
Entity TypeIndividualMale
Primary Taxonomy243U00000X
Provider Legal NameDEREK MEDEIROSCredential: R.T, R.R.A, R.P.A
Location Address6836 MORRISON BLVD STE 101Charlotte, NC 28211-2612
Mailing Address6836 Morrison Blvd, Suite 101Charlotte, NC 28211-2612 · (704) 817-0821 · Fax (704) 817-0835
Fax(704) 817-0835
Sole ProprietorYes
Enumeration DateDecember 7, 2016
NPI 1053855296 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyRadiology Practitioner AssistantTechnologists, Technicians & Other Technical Service Providers
Taxonomy Code243U00000X
License Licensed in MA · 15MA1496
Definition

A Radiology Practitioner Assistant (RPA) is a health professional certified as a registered radiographer with the American Registry of Radiologic Technologists (ARRT) and, in addition, is credentialed to provide primary radiology health care with radiologist supervision. Radiology Practitioner Assistants are qualified by graduation from an educational program recognized by the Board of Directors of athe Certification Board for Radiology Practitioner Assistants (CBRPA) and certified by the CBRPA. Within the Radiologist/RPA relationship, Radiology Practitioner Assistants exercise autonomy in decision making in the role of a primary caregiver with regard to patient assessment, patient management and in providing a broad range of radiology diagnostic and interventional services. The clinical role of the Radiology Practitioner Assistant includes primary and specialty care in radiology practice settings in rural and urban areas.

6836 MORRISON BLVD STE 101, Charlotte, NC 28211

Other Providers at the Same Location NPPES 2

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

Radiology Practitioner Assistant
6836 MORRISON BLVD STE 101
CHARLOTTE, NC 28211
Radiology Practitioner Assistant
6836 MORRISON BLVD STE 101, SUITE 101
CHARLOTTE, NC 28211

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 Medeiros's NPI number?

The NPI number for Derek Medeiros is 1053855296. It was assigned to this individual provider in the NPPES registry on December 7, 2016.

Where is Derek Medeiros located?

Derek Medeiros practices at 6836 Morrison Blvd Ste 101, Charlotte, NC 28211. The listed phone number is (704) 817-0821.

What is Derek Medeiros's specialty?

The primary specialty registered for this NPI is Radiology Practitioner Assistant with taxonomy code 243U00000X.

When was this NPI record last updated?

The NPPES record for Derek Medeiros was last updated on December 7, 2016. NPI Profile syncs with the weekly NPPES data releases published by CMS.