ALTA J. DEROO MD
NPI 1184791725
Preventive Medicine - Addiction Medicine in Kalamazoo, MI

Active since November 29, 2006PECOS EnrolledAccepts Medicare Assignment
1521 GULL RD, KALAMAZOO, MI 49048(269) 226-5927 Get Directions Write a Review

NPPES record last updated: October 18, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 26, 2023, May 30, 2023, Jun 11, 2019 (3 updates tracked since 2019).

About Alta J. Deroo Md NPPES

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

ALTA J. DEROO MD (NPI 1184791725) is an individual addiction medicine provider in Kalamazoo, Michigan, licensed in Minnesota (71806) and active in the NPI registry since November 2006. She is enrolled in Medicare PECOS and is a graduate of University Of Florida College Of Medicine (2003).

NPPES Registry Identity

NPI1184791725
Entity TypeIndividualFemale
Primary Taxonomy2083A0300X
Provider Legal NameALTA J. DEROOCredential: MD
Location Address1521 GULL RDKalamazoo, MI 49048-1640
Mailing Address6 Evergreen RdNorth Oaks, MN 55127-2004 · (757) 343-1218
Sole ProprietorNo
Medical School CMSUniversity Of Florida College Of MedicineGraduated 2003
Enumeration DateNovember 29, 2006
Last NPPES UpdateOctober 18, 20243 updates tracked since enumeration
NPPES CertifiedOctober 18, 2024
NPI 1184791725 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPreventive Medicine · Addiction MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2083A0300X
Licenses Licensed in MN · 71806 Licensed in CA · 168454
Definition
A physician engaged in the subspecialty practice of Addiction Medicine who specializes in the prevention, evaluation, diagnosis, treatment, and recovery of persons with the disease of addiction.
Also ListedObstetrics & GynecologyTaxonomy 207V00000X · License 71806 (MN), 168454 (CA), 4301116178 (MI), 0101237764 (VA)
1521 GULL RD, Kalamazoo, MI 49048

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Alta J. Deroo 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 ID7618150152
PECOS Enrollment IDI20220916000032
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 49048 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
$126.15 typical visit price
range $54.34 – $166.68
Typical copayment $31.53 (range $13.58 – $41.67)
Most-billed visit code 99204
Established Patient
$96.44 typical visit price
range $17.09 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
Most-billed visit code 99214
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 20

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

Social Worker
1521 GULL RD
KALAMAZOO, MI 49048
Occupational Therapist
1521 GULL RD
KALAMAZOO, MI 49048
Internal Medicine (Hospice and Palliative Medicine)
1521 GULL RD, SUITE 173
KALAMAZOO, MI 49048
Psychiatry & Neurology (Psychiatry)
1521 GULL RD
KALAMAZOO, MI 49048
Counselor (Professional)
1521 GULL RD
KALAMAZOO, MI 49048
Physician Assistant
1521 GULL RD
KALAMAZOO, MI 49048
Social Worker (Clinical)
1521 GULL RD
KALAMAZOO, MI 49048
Pharmacist
1521 GULL RD, INPATIENT PHARMACY
KALAMAZOO, MI 49048

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 Alta Deroo's NPI number?

The NPI number for Alta Deroo is 1184791725. It was assigned to this individual provider in the NPPES registry on November 29, 2006.

Where is Alta Deroo located?

Alta Deroo practices at 1521 Gull Rd, Kalamazoo, MI 49048. The listed phone number is (269) 226-5927.

What is Alta Deroo's specialty?

The primary specialty registered for this NPI is Preventive Medicine, specializing in Addiction Medicine, with taxonomy code 2083A0300X.

Is Alta Deroo enrolled in Medicare?

Yes. Alta Deroo 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.

What insurance does Alta Deroo accept?

Health plans from Medica list Alta Deroo 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.

When was this NPI record last updated?

The NPPES record for Alta Deroo was last updated on October 18, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 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.