PHILLIPS RUTH DERIDDER MD
NPI 1124512454
Pediatrics - Pediatric Critical Care Medicine in Columbia, SC
NPI Status: Active since June 20, 2018
Contact Information
9 RICHLAND MEDICAL PARK DR STE 530
COLUMBIA, SC
ZIP 29203
Phone: (803) 434-4603
Fax: (803) 434-7983
- Individual
- Female
- Pediatrics
- Pediatric Critical Care Medicine
- PECOS Enrolled
About PHILLIPS DERIDDER
This page provides the complete NPI Profile along with additional information for Phillips Deridder, a pediatrician established in Columbia, South Carolina with a medical specialization in Pediatrics, focusing in pediatric critical care medicine . The healthcare provider is registered in the NPI registry with number 1124512454 assigned on June 2018. The practitioner's primary taxonomy code is 2080P0203X with license number 52457 (SC). The provider is registered as an individual and her NPI record was last updated one year ago.
- NPI
- 1124512454
- Provider Name
- PHILLIPS RUTH DERIDDER MD
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 9 RICHLAND MEDICAL PARK DR STE 530 COLUMBIA, SC 29203
- Location Phone
- (803) 434-4603
- Location Fax
- (803) 434-7983
- Mailing Address
- 300 E MCBEE AVE FL 4 GREENVILLE, SC 29601
- Mailing Phone
- (864) 695-6697
- Is Sole Proprietor?
- No
- Enumeration Date
- 06-20-2018
- Last Update Date
- 12-08-2025
- Code Navigator
A pediatrician like Phillips Deridder is a physician who has completed a pediatric residency and is board-certified or board-eligible in a pediatric specialty. Pediatric care providers are trained to care for newborns, infants, children and adolescents. A pediatrician could perform physical exams, manage vaccinations, monitor development milestones, diagnose illnesses, infections, injuries or other health problems, etc.
Location Map
Secondary Locations
- 701 Grove Rd
Greenville, SC 29605
(864) 455-7844
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Pediatrics Pediatric Critical Care Medicine
- Taxonomy Code
- 2080P0203X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 52457
- License State
- SC
- Taxonomy Description
- A pediatrician expert in advanced life support for children from the term or near-term neonate to the adolescent. This competence extends to the critical care management of life-threatening organ system failure from any cause in both medical and surgical patients and to the support of vital physiological functions. This specialist may have administrative responsibilities for intensive care units and also facilitates patient care among other specialists.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 207R00000X | Allopathic & Osteopathic Physicians | Internal Medicine | LL52457 (SC) |
| 2 | 208000000X | Allopathic & Osteopathic Physicians | Pediatrics | LL52457 (SC) |
Medicare Participation & PECOS Enrollment Status
Phillips Deridder is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1124512454, we treat the final digit (4) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 46. The final step is to find the difference between that total and the next multiple of ten (50 - 46 = 4).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 46 is 50. The difference is the calculated check digit.
Other Providers at the Same Location
The following 6 providers are registered at the same or a nearby location.
COLUMBIA, SC 29203
COLUMBIA, SC 29203
COLUMBIA, SC 29203
COLUMBIA, SC 29203
COLUMBIA, SC 29203
COLUMBIA, SC 29203
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1124512454, enumerated as an "individual" on June 20, 2018.
The provider is located at 9 RICHLAND MEDICAL PARK DR STE 530 COLUMBIA, SC 29203 and the phone number is (803) 434-4603.
Pediatrics with taxonomy code 2080P0203X and a focus in Pediatric Critical Care Medicine.
