DR. TREVOR JOHN DERDERIAN M.D.
NPI 1124346697
Surgery - Vascular Surgery in Rancho Mirage, CA

Q: What is Trevor Derderian's NPI number?

The NPI number for Trevor Derderian is 1124346697. It was assigned to this individual provider in the NPPES registry on May 9, 2010.

Q: What is Trevor Derderian's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Vascular Surgery, with taxonomy code 2086S0129X.

Q: When was this NPI record last updated?

The NPPES record for Trevor Derderian was last updated on December 30, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.

Active since May 09, 2010PECOS EnrolledAccepts Medicare Assignment

16.84/100

CMS Quality Rating

39000 BOB HOPE DR, RANCHO MIRAGE, CA 92270(760) 340-9216(760) 341-2093 Get Directions Write a Review

NPPES record last updated: December 30, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Dec 30, 2025, Nov 7, 2025, Mar 3, 2020 and 1 more (4 updates tracked since 2017).

On this page

About Dr. Trevor John Derderian M.d. NPPES

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

DR. TREVOR JOHN DERDERIAN M.D. (NPI 1124346697) is an individual vascular surgery provider in Rancho Mirage, California, licensed in California (148584) and active in the NPI registry since May 2010. He is enrolled in Medicare PECOS and is a graduate of Other (2010).

NPPES Registry Identity

NPI1124346697

Entity TypeIndividualMale

Primary Taxonomy2086S0129X

Provider Legal NameDR. TREVOR JOHN DERDERIANCredential: M.D.

Location Address39000 BOB HOPE DRRancho Mirage, CA 92270-3221

Mailing Address39000 Bob Hope DrRancho Mirage, CA 92270-3221 · (760) 340-9216 · Fax (760) 341-2093

Phone(760) 340-9216

Fax(760) 341-2093

Sole ProprietorNo

Medical School CMSOtherGraduated 2010

Enumeration DateMay 9, 2010

Last NPPES UpdateDecember 30, 20254 updates tracked since enumeration

NPPES CertifiedDecember 30, 2025

✔ NPI 1124346697 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgery · Vascular SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code2086S0129X

License✔ Licensed in CA · 148584

Definition

A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.

39000 BOB HOPE DR, Rancho Mirage, CA 92270

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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

Dr. Trevor John Derderian M.d. 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.

PECOS PAC ID2264748623

PECOS Enrollment IDI20170717001933

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.

Medicare Billing Reassignments

Medicare enrollment records show Trevor Derderian reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Eisenhower Medical Center

Same address

General Acute Care Hospital

39000 BOB HOPE DR
Rancho Mirage, CA 92270

Reassigned Medicare billing, California enrollment
595 clinicians in this Medicare group

NPI 1013981554 (760) 340-3911

Emergency Associates Corporation

Same address

Emergency Medicine

39000 BOB HOPE DR
Rancho Mirage, CA 92270

Reassigned Medicare billing, California enrollment
122 clinicians in this Medicare group

NPI 1003866120 (760) 340-3911

Desert Advanced Imaging Medical Center

2.6 mi

Diagnostic Radiology

72855 FRED WARING DR
Palm Desert, CA 92260

Reassigned Medicare billing, California enrollment
278 clinicians in this Medicare group

NPI 1568416147 (760) 346-1130

Beverly Radiology Medical Group III

45 mi

Diagnostic Radiology

27168 NEWPORT RD, SUITE B
Menifee, CA 92584

Reassigned Medicare billing, California enrollment
Also billed through NPI 1801159736 (California), NPI 1043681752 (California)
372 clinicians in this Medicare group

NPI 1649599085 (310) 445-2800

San Fernando Valley Interventional Radiology And Imaging Center

123 mi

Vascular-Interventional Technology

16311 VENTURA BLVD STE 120
Encino, CA 91436

Reassigned Medicare billing, California enrollment
329 clinicians in this Medicare group

NPI 1942350889 (310) 445-2951

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 39

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

685 services473 patients

Ultrasound study of arm and leg arteries 93922

An ultrasound study of arm and leg arteries is a non-invasive procedure that uses sound waves to create images of your arteries. It helps in checking blood flow, identifying blockages, or detecting other abnormalities in your arteries.

343 services221 patients

Ultrasound of both sides of head and neck blood flow 93880

An ultrasound of the head and neck blood flow is a safe, non-invasive procedure that uses sound waves to create images of blood vessels. It helps detect abnormalities like blockages or clots, ensuring optimal blood flow.

270 services220 patients

Ultrasound of leg arteries or artery grafts 93925

An ultrasound of leg arteries or artery grafts is a non-invasive imaging test. It uses high-frequency sound waves to capture live images from inside your body, specifically your leg arteries or grafts. This helps in detecting any blockages or abnormalities.

247 services173 patients

Use of a drug to induce depression of consciousness by physician performing a procedure (5 years or older), initial 15 minutes 99152

This procedure involves a doctor administering a medication to reduce your consciousness during a procedure. This helps in managing discomfort and anxiety. The initial application lasts for 15 minutes and is for individuals aged 5 years or older.

204 services118 patients

Ultrasonic guidance during surgery 76998

Ultrasonic guidance during surgery is a technique that uses sound waves to create real-time images of the inside of your body. This helps the surgeon navigate and perform procedures more accurately, reducing the risk of complications. It's like a GPS for your body's internal structures.

187 services131 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

170 services170 patients

Ultrasound study of arm or leg veins with compression and maneuvers 93970

An ultrasound study of arm or leg veins with compression and maneuvers is a non-invasive procedure that uses sound waves to create images of your veins. This helps identify blood clots or other vein problems. During the procedure, pressure is applied to the veins and certain movements are performed to assess blood flow.

134 services118 patients

Ultrasound of hemodialysis access 93990

An ultrasound of hemodialysis access is a non-invasive procedure that uses sound waves to create images of your dialysis access site. It helps monitor the access site's health and detect any potential issues like blockages or narrowing.

127 services94 patients

Ultrasound evaluation of blood vessel with review by radiologist, initial vessel 37252

This procedure involves using ultrasound, a safe imaging technique, to examine your blood vessels. The images are then reviewed by a radiologist, a doctor specialized in medical imaging. The process helps identify any abnormalities in your initial vessel.

93 services74 patients

Ultrasound evaluation of blood vessel with review by radiologist, each additional vessel 37253

An ultrasound evaluation of a blood vessel is a non-invasive procedure that uses sound waves to create images of your blood vessels. A radiologist reviews these images to check for any abnormalities. If additional vessels need reviewing, the process is repeated.

90 services71 patients

Insertion of needle or tube into artery of arm or leg 36140

This procedure involves inserting a needle or a small tube into an artery in your arm or leg. It's typically done to monitor blood pressure, take blood samples, or administer medication. You may feel a small prick or pressure. It's generally safe with minimal discomfort.

85 services50 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

83 services64 patients

Review by radiologist of abdominal aorta and both leg arteries image 75630

This procedure involves a radiologist examining images of your abdominal aorta and leg arteries. These images help identify any abnormalities or blockages in the arteries, ensuring proper blood flow for optimal health.

80 services46 patients

Review by radiologist of arm or leg artery image 75710

This procedure involves a radiologist examining images of your arm or leg arteries. These images are obtained through a non-invasive method, like an ultrasound or CT scan. The radiologist reviews these images to identify any abnormalities, such as blockages or narrowing, which can affect blood flow.

79 services47 patients

Insertion of tube into abdominal, pelvic, or leg artery, initial third order branch 36247

This procedure involves placing a tube into an artery in the abdomen, pelvis, or leg. The tube is inserted into the initial third order branch of the artery. This can help doctors diagnose or treat certain conditions by allowing access to these blood vessels.

78 services48 patients

Insertion of needle and/or tube into hemodialysis circuit and balloon dilation of dialysis segment with review by radiologist 36902

This procedure involves inserting a needle or tube into your hemodialysis circuit, a system that cleans your blood when your kidneys can't. A balloon is then used to widen a narrow section of this circuit. A radiologist reviews the procedure to ensure accuracy.

73 services63 patients

Repair of blood vessel of leg with graft 35286

This procedure involves fixing a damaged leg blood vessel using a graft. A graft, often a synthetic tube, is attached to the vessel to bypass the damaged area, improving blood flow. It's commonly used to treat conditions like peripheral artery disease.

72 services46 patients

Ultrasound study of one arm or leg veins with compression and maneuvers 93971

This is a non-invasive procedure using sound waves to visualize veins in an arm or leg. It involves applying gentle pressure and performing certain movements. It helps identify any abnormal blood flow or clots, ensuring vascular health.

65 services33 patients

Ultrasound of one leg arteries or artery grafts 93926

An ultrasound of leg arteries or artery grafts is a non-invasive test using sound waves to create images of your blood vessels. This helps doctors assess blood flow, identify blockages, and monitor the health of grafts.

59 services47 patients

Complete ultrasound of aorta, vena cava, groin vessels or bypass grafts 93978

This procedure involves using sound waves to create images of your aorta, vena cava, groin vessels, or bypass grafts. It helps to detect abnormalities or blockages, ensuring your blood flows smoothly. It's painless and non-invasive.

56 services50 patients

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223

Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.

56 services52 patients

Measurement of brain wave activity (eeg), 41-60 minutes 95812

This procedure involves placing small sensors on your head to record your brain's electrical activity for 41-60 minutes. Known as an EEG, it helps doctors understand how your brain works, assisting in diagnosing conditions like epilepsy or sleep disorders.

53 services50 patients

Insertion of tube into internal neck artery for diagnosis or treatment with review by radiologist 36224

This procedure involves placing a small tube into your neck artery. It helps diagnose or treat certain conditions. A radiologist, a doctor specializing in medical imaging, reviews the process to ensure accuracy and safety.

52 services50 patients

Insertion of stent and blood clot protection device in neck artery with review by radiologist 37215

This procedure involves placing a small mesh tube, or stent, in your neck artery to ensure blood flow. A protective device is also inserted to prevent blood clots from reaching the brain. A radiologist reviews the procedure to ensure everything is in place correctly.

49 services47 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

48 services48 patients

Chemical destruction of first incompetent vein of arm or leg using imaging guidance 36482

This procedure involves using a chemical to close off a malfunctioning vein in your arm or leg. Imaging guidance is used to accurately locate the vein. This helps improve blood flow by rerouting it through healthier veins.

42 services16 patients

Removal of plaque in artery of leg, initial vessel 37229

This procedure involves removing plaque from the initial vessel in your leg. Plaque, a build-up of fat, cholesterol, and other substances, can block blood flow. The removal process, known as an angioplasty, restores healthy blood circulation in your leg.

34 services25 patients

Complete ultrasound of artery and vein blood flow pre-op assessment on both sides of body for hemodialysis access 93985

This procedure involves using ultrasound technology to examine the blood flow in your arteries and veins on both sides of your body. It's crucial for preparing for hemodialysis access, ensuring safe and effective treatment.

29 services28 patients

Removal of tunneled central venous tube 36589

A tunneled central venous tube removal is a procedure to take out a long, thin tube that was previously placed in a large vein in your body. This tube helps deliver medication or nutrition. The removal is usually quick and done under local anesthesia.

28 services27 patients

Removal of plaque and insertion of stents in arteries of leg 37227

This procedure, known as angioplasty, involves a small tube being inserted into your leg artery. The tube has a tiny balloon that inflates to remove plaque blocking the artery. A stent (a small mesh tube) is then placed to keep the artery open, improving blood flow.

27 services21 patients

Transitional care management services for problem of high complexity 99496

Transitional care management services are designed to ensure a smooth transition from a hospital to home or another care setting for patients with complex health issues. These services include medication management, patient education, and coordination with healthcare providers.

27 services27 patients

Removal of plaque in arteries of leg 37225

This procedure, known as atherectomy, involves clearing out plaque buildup in the leg arteries. Plaque can restrict blood flow, causing discomfort and potential health issues. A special device is inserted into the artery to carefully remove the plaque, improving blood circulation.

26 services23 patients

Relocation of arm vein with connection to arm artery for hemodialysis 36821

This procedure involves moving a vein in your arm and connecting it to an artery. This creates a larger, stronger vein that can be used for hemodialysis, a treatment for kidney disease. It helps clean your blood when your kidneys can't.

24 services24 patients

Insertion of needle and/or tube into hemodialysis circuit and insertion of stent in dialysis segment with review by radiologist 36903

This procedure involves placing a needle or tube into your hemodialysis circuit, a system used to clean your blood when kidneys are not working properly. A stent, a small tube, is then inserted into the dialysis segment to keep it open. A radiologist reviews the process to ensure accuracy.

16 services15 patients

Revision of hemodialysis graft 36832

A revision of a hemodialysis graft is a procedure to fix issues with the graft used for dialysis. This can involve clearing blockages or improving blood flow. It helps ensure the graft continues to work effectively for your dialysis treatments.

14 services12 patients

Ultrasound of leg arteries or artery grafts 93925

14 services14 patients

Insertion of needle and/or tube into hemodialysis circuit with review by radiologist 36901

This procedure involves inserting a needle or tube into your hemodialysis circuit, which is part of the system that cleans your blood when your kidneys can't. A radiologist, a doctor specialized in imaging techniques, will review the process to ensure everything is correct.

13 services13 patients

Creation of artery-vein connection using tube graft for hemodialysis 36830

This procedure involves connecting an artery to a vein using a tube graft. It's typically done for hemodialysis, a treatment for kidney disease. The connection allows blood to flow from the artery into the graft, then into the vein, and back to your body.

12 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92270 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$91.88 typical visit price

range $59.60 – $179.42

Typical copayment $22.97 (range $14.90 – $44.85)

Most-billed visit code 99203

Established Patient

$74.08 typical visit price

range $19.37 – $146.42

Typical copayment $18.52 (range $4.84 – $36.60)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

16.84/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Individually scored

Quality

Improvement Activities

Cost

56.14

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.

MS. NORMA ZAPATA LCSW

Social Worker (Clinical)

39000 BOB HOPE DR
RANCHO MIRAGE, CA 92270

Riverside County (760) 340-3911

ADELE ALEXANDRA FIELDS MD

Radiology (Diagnostic Radiology)

39000 BOB HOPE DR
RANCHO MIRAGE, CA 92270

Riverside County (760) 773-1574

DR. PETER JAMES SOFIA M.D.

Anesthesiology

39000 BOB HOPE DR
RANCHO MIRAGE, CA 92270

Riverside County (760) 340-3911

ANDREA VIRGINIA CORPORA PA-C

Thoracic Surgery (Cardiothoracic Vascular Surgery)

39000 BOB HOPE DR, K - 108
RANCHO MIRAGE, CA 92270

Riverside County (760) 568-4330

SEVWANDI DE SILVA M.D.

Internal Medicine (Pulmonary Disease)

39000 BOB HOPE DR
RANCHO MIRAGE, CA 92270

Riverside County (760) 834-3564

ERVIN XHUFKA NP

Nurse Practitioner (Family)

39000 BOB HOPE DR
RANCHO MIRAGE, CA 92270

Riverside County (760) 837-8542

LOGAN BUCKNER PT, DPT

Physical Therapist

39000 BOB HOPE DR
RANCHO MIRAGE, CA 92270

Riverside County (760) 340-3911

MOLLY E MCKEOWN PA-C

Physician Assistant

39000 BOB HOPE DR
RANCHO MIRAGE, CA 92270

Riverside County (760) 340-3911

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 Trevor Derderian's NPI number?

The NPI number for Trevor Derderian is 1124346697. It was assigned to this individual provider in the NPPES registry on May 9, 2010.

Where is Trevor Derderian located?

Trevor Derderian practices at 39000 Bob Hope Dr, Rancho Mirage, CA 92270. The listed phone number is (760) 340-9216.

What is Trevor Derderian's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Vascular Surgery, with taxonomy code 2086S0129X.

Is Trevor Derderian enrolled in Medicare?

Yes. Trevor Derderian 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 organizations bill Medicare for Trevor Derderian's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Trevor Derderian reassigns Medicare benefits to 5 organizations: Eisenhower Medical Center (Rancho Mirage, CA), Emergency Associates Corporation (Rancho Mirage, CA), Desert Advanced Imaging Medical Center (Palm Desert, CA), Beverly Radiology Medical Group III (Menifee, CA) and San Fernando Valley Interventional Radiology And Imaging Center (Encino, CA). Each 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 Trevor Derderian's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Trevor Derderian was last updated on December 30, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.