DR. JENNIFER SHULER DERAMO MD
NPI 1063717551
Pediatrics - Pediatric Emergency Medicine in Dallas, TX

Q: What is Jennifer Deramo's NPI number?

The NPI number for Jennifer Deramo is 1063717551. It was assigned to this individual provider in the NPPES registry on January 14, 2011.

Q: What is Jennifer Deramo's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Emergency Medicine, with taxonomy code 2080P0204X.

Q: When was this NPI record last updated?

The NPPES record for Jennifer Deramo was last updated on September 17, 2016. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since January 14, 2011PECOS Enrolled

5323 HARRY HINES BOULEVARD, DALLAS, TX 75390(214) 456-7000(214) 456-8132 Get Directions Write a Review

NPPES record last updated: September 17, 2016. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Sep 17, 2016, Jun 23, 2016 (2 updates tracked since 2016).

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About Dr. Jennifer Shuler Deramo Md NPPES

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

DR. JENNIFER SHULER DERAMO MD (NPI 1063717551) is an individual pediatric emergency medicine provider in Dallas, Texas, licensed in Texas (Q5996) and active in the NPI registry since January 2011. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1063717551

Entity TypeIndividualFemale

Primary Taxonomy2080P0204X

Provider Legal NameDR. JENNIFER SHULER DERAMOCredential: MD

Location Address5323 HARRY HINES BOULEVARDDallas, TX 75390-7208

Mailing AddressP.o. Box 845347Dallas, TX 75284-5347 · (214) 456-7000 · Fax (214) 456-8132

Phone(214) 456-7000

Fax(214) 456-8132

Sole ProprietorNo

Enumeration DateJanuary 14, 2011

Last NPPES UpdateSeptember 17, 20162 updates tracked since enumeration

✔ NPI 1063717551 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatrics · Pediatric Emergency MedicineAllopathic & Osteopathic Physicians

Taxonomy Code2080P0204X

License✔ Licensed in TX · Q5996

Definition

A pediatrician who has special qualifications to manage emergencies in infants and children.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

5323 HARRY HINES BOULEVARD, Dallas, TX 75390

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Other Names 1

Former Name (1)Dr. Jennifer Lynn Shuler Md

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Jennifer Shuler Deramo Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

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.

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