DERIK TYLER GOTAY DNAP
NPI 1124715149
Nurse Anesthetist, Certified Registered in Phoenix, AZ
About Derik Tyler Gotay Dnap NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DERIK TYLER GOTAY DNAP (NPI 1124715149) is an individual nurse anesthetist, certified registered in Phoenix, Arizona, licensed in Arizona (317291) and active in the NPI registry since April 2023. He is enrolled in Medicare PECOS, is affiliated with Physicians Regional Medical Center - Pine Ridge, and maintains 2 additional practice locations.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Locations 2
Other Identifiers 1
Accepted Insurance
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
Derik Tyler Gotay Dnap 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.
Medicare Billing Reassignments
10Medicare enrollment records show Derik Gotay reassigns Medicare billing to 10 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Phoenix, AZ 85008
- Reassigned Medicare billing, Arizona enrollment
- 1,490 clinicians in this Medicare group
Hastings, NE 68901
- Reassigned Medicare billing, Nebraska enrollment
- 98 clinicians in this Medicare group
West Des Moines, IA 50266
- Reassigned Medicare billing, Iowa enrollment
- 209 clinicians in this Medicare group
Dubuque, IA 52002
- Reassigned Medicare billing, Iowa enrollment
- 272 clinicians in this Medicare group
Louisville, KY 40241
- Reassigned Medicare billing, Kentucky enrollment
- Medicare enrollment name: Norton Childrens Medical Group LLC
- 1,008 clinicians in this Medicare group
Elkhart, IN 46514
- Reassigned Medicare billing, Indiana enrollment
- 104 clinicians in this Medicare group
Gainesville, FL 32610
- Reassigned Medicare billing, Florida enrollment
- 3,324 clinicians in this Medicare group
St Augustine, FL 32092
- Reassigned Medicare billing, Florida enrollment
- 354 clinicians in this Medicare group
Maitland, FL 32751
- Reassigned Medicare billing, Florida enrollment
- 2,356 clinicians in this Medicare group
Naples, FL 34119
- Reassigned Medicare billing, Florida enrollment
- 767 clinicians in this Medicare group
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
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.
Hospital Affiliations CMS Care Compare 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Physicians Regional Medical Center - Pine Ridge
Acute Care Hospitals · Naples, FLMercyone Dubuque Medical Center
Acute Care Hospitals · Dubuque, IAPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 85008 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.
PHOENIX, AZ 85008
PHOENIX, AZ 85008
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 Derik Gotay's NPI number?
The NPI number for Derik Gotay is 1124715149. It was assigned to this individual provider in the NPPES registry on April 19, 2023.
Where is Derik Gotay located?
Derik Gotay practices at 2601 E Roosevelt St, Phoenix, AZ 85008. The listed phone number is (602) 344-5039.
What is Derik Gotay's specialty?
The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.
Is Derik Gotay enrolled in Medicare?
Yes. Derik Gotay 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 Derik Gotay's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Derik Gotay reassigns Medicare benefits to 10 organizations: District Medical Group, Inc (Phoenix, AZ), The Mary Lanning Memorial Hospital Association (Hastings, NE), Cep America - Anesthesia PC (West Des Moines, IA), Medical Associates Clinic P C (Dubuque, IA), Norton Children's Medical Group, LLC (Louisville, KY) and 5 more organizations, listed in the Medicare section above. 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 Derik Gotay's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Derik Gotay accept?
Health plans from CareSource, Imperial Insurance Companies, Inc. and Oscar Insurance Company list Derik Gotay as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
Is Derik Gotay affiliated with any hospitals?
According to CMS data, Derik Gotay is affiliated with Physicians Regional Medical Center - Pine Ridge and Mercyone Dubuque Medical Center.
When was this NPI record last updated?
The NPPES record for Derik Gotay was last updated on April 9, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.
# Derik Tyler Gotay, DNAP · NPI 1124715149
Nurse Anesthetist, Certified Registered physician in Phoenix, Arizona. Individual provider, active in the CMS NPPES registry since April 19, 2023.
## Identity
- **NPI:** 1124715149 (Entity type: Individual)
- **Enumerated:** April 19, 2023
- **Primary specialty:** Nurse Anesthetist, Certified Registered · taxonomy 367500000X
- **State license:** 317291 (Arizona)
- **Sole proprietor:** No
## Practice location
- **Address:** 2601 E ROOSEVELT ST, Phoenix, AZ 85008-4973
- **Phone:** (602) 344-5039
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 10 organizations under Medicare reassignment (form CMS-855R): District Medical Group, Inc (NPI 1043443237, Phoenix, AZ); The Mary Lanning Memorial Hospital Association (NPI 1356656417, Hastings, NE); Cep America - Anesthesia PC (NPI 1194516146, West Des Moines, IA); Medical Associates Clinic P C (NPI 1457300790, Dubuque, IA); Norton Children's Medical Group, LLC (NPI 1013559921, Louisville, KY); and 5 more · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2023
## Record status
- **NPPES last updated:** April 9, 2026
- **Other identifiers:** Medicaid 120382200 (FL)
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Source: [NPI Profile](https://npiprofile.com/npi/1124715149) · Data from the CMS NPPES public registry.