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ROBERT T. DEROSA MD
NPI 1154320885
Obstetrics & Gynecology in Sylvania, OH

Active since July 15, 2005PECOS EnrolledAccepts Medicare Assignment
5700 MONROE ST, SUITE 202, SYLVANIA, OH 43560(419) 473-6622(419) 473-6627 Get Directions Write a Review

NPPES record last updated: November 3, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Nov 3, 2023, Aug 23, 2016 (2 updates tracked since 2016).

About Robert T. Derosa Md NPPES

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

ROBERT T. DEROSA MD (NPI 1154320885) is an individual obstetrics & gynecology provider in Sylvania, Ohio, licensed in Ohio (35056097) and active in the NPI registry since July 2005. He is enrolled in Medicare PECOS, is affiliated with Promedica Toledo Hospital, and is a graduate of Other (1986).

NPPES Registry Identity

NPI1154320885
Entity TypeIndividualMale
Primary Taxonomy207V00000X
Provider Legal NameROBERT T. DEROSACredential: MD
Location Address5700 MONROE ST, SUITE 202Sylvania, OH 43560-2767
Mailing Address1 Seagate, Suite 800Toledo, OH 43604-1558 · (567) 585-1964 · Fax (419) 824-7359
Phone(419) 473-6622
Fax(419) 473-6627
Sole ProprietorNo
Medical School CMSOtherGraduated 1986
Enumeration DateJuly 15, 2005
Last NPPES UpdateNovember 3, 20232 updates tracked since enumeration
✔ NPI 1154320885 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License✔ Licensed in OH · 35056097
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
5700 MONROE ST, Sylvania, OH 43560
Open in Google Maps ↗

Other Identifiers 6

Medicaid0786841OH
Other00996OH · Paramount
OtherANTHEMOH · 000000141262
Other160041509OH · Rrmc
Other2083365OH · Aetna
Other07-01542OH · Uhc

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.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

Robert T. Derosa Md 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 ID8820169741
PECOS Enrollment IDI20080620000392
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

2

Medicare enrollment records show Robert Derosa reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

The Toledo Hospital
0.4 mi
Internal Medicine
5855 MONROE ST
Sylvania, OH 43560
  • Reassigned Medicare billing, Ohio enrollment
  • 375 clinicians in this Medicare group
NPI 1033546981 (419) 824-7334
Promedica Central Physicians
8.6 mi
Family Medicine
100 MADISON AVE, MSC-S38805
Toledo, OH 43604
  • Reassigned Medicare billing, Ohio enrollment
  • 1,072 clinicians in this Medicare group
NPI 1043270150 (567) 585-1964

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 3

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.

Cervical or vaginal cancer screening; pelvic and clinical breast examination G0101
This procedure involves checking for health issues in the lower abdomen and chest area. It helps identify early signs of certain conditions, increasing the chance for successful treatment. It's a routine check-up that's important for maintaining good health.
66 services66 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.
28 services19 patients
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory Q0091
A Papanicolaou smear, often called a Pap smear, is a test to check for changes in cells. A small sample is gently collected from the lower region and sent to a lab for examination. This helps in early detection of potential health issues.
26 services26 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Promedica Toledo Hospital

Acute Care Hospitals · Toledo, OH
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360068
Location2142 North Cove BoulevardToledo, OH 43606 · Lucas County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 43560 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
$126.12 typical visit price
range $54.34 – $166.65
Typical copayment $31.53 (range $13.58 – $41.66)
Most-billed visit code 99204
Established Patient
$68.07 typical visit price
range $17.10 – $135.40
Typical copayment $17.01 (range $4.27 – $33.85)
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.

Other Providers at the Same Location NPPES 14

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

AMY CRAMER CNP
Nurse Practitioner
5700 MONROE ST, SUITIE 111
SYLVANIA, OH 43560
Lucas County (567) 585-0005
DR. CUNEYD A TOLEK M.D.
Family Medicine
5700 MONROE ST, #204
SYLVANIA, OH 43560
Lucas County (567) 585-0090
DANIELLE M PIETRASZAK CNP
Nurse Practitioner
5700 MONROE ST, SUITE 209
SYLVANIA, OH 43560
Lucas County (419) 291-6720
J.R. MEDICAL CENTER, CORP.
General Practice
5700 MONROE ST, SUITE: #120-379
SYLVANIA, OH 43560
Lucas County (419) 490-5771
DR. PRESTON G. LINLEY O.D.
Optometrist
5700 MONROE ST, SUITE 211 PROMEDICA HEALTH AND WELLNESS CENTER
SYLVANIA, OH 43560
Lucas County (866) 935-5393
AMBER RYCHENER NP-C
Nurse Practitioner (Adult Health)
5700 MONROE ST, SUITE 303
SYLVANIA, OH 43560
Lucas County (419) 473-6622
DERIK S VINCENT CNP
Nurse Practitioner
5700 MONROE ST, SUITE 209
SYLVANIA, OH 43560
Lucas County (419) 291-6720
DR. RACHEL PARKER COLBY MD
Internal Medicine
5700 MONROE ST
SYLVANIA, OH 43560
Lucas County (419) 291-6500

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 Robert Derosa's NPI number?

The NPI number for Robert Derosa is 1154320885. It was assigned to this individual provider in the NPPES registry on July 15, 2005.

Where is Robert Derosa located?

Robert Derosa practices at 5700 Monroe St Suite 202, Sylvania, OH 43560. The listed phone number is (419) 473-6622.

What is Robert Derosa's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Robert Derosa enrolled in Medicare?

Yes. Robert Derosa 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 Robert Derosa's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Robert Derosa reassigns Medicare benefits to 2 organizations: The Toledo Hospital (Sylvania, OH) and Promedica Central Physicians (Toledo, OH). 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 Robert Derosa's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Robert Derosa accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and Blue Care Network of Michigan and 3 other insurers list Robert Derosa 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 Robert Derosa affiliated with any hospitals?

According to CMS data, Robert Derosa is affiliated with Promedica Toledo Hospital.

When was this NPI record last updated?

The NPPES record for Robert Derosa was last updated on November 3, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.