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DR. DEREK LEE DEBOER MD
NPI 1194032748
General Practice in Virginia Beach, VA

Active since September 02, 2010PECOS Enrolled
1550 TOMCAT BLVD STE 150, VIRGINIA BEACH, VA 23460(757) 953-3778 Get Directions Write a Review

NPPES record last updated: August 19, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Derek Lee Deboer Md NPPES

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

DR. DEREK LEE DEBOER MD (NPI 1194032748) is an individual general practice provider in Virginia Beach, Virginia, licensed in Virginia (0101250168) and active in the NPI registry since September 2010. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1194032748
Entity TypeIndividualMale
Primary Taxonomy208D00000X
Provider Legal NameDR. DEREK LEE DEBOERCredential: MD
Location Address1550 TOMCAT BLVD STE 150Virginia Beach, VA 23460-2186
Mailing Address1550 Tomcat Blvd Ste 150Virginia Beach, VA 23460-2186 · (757) 953-3778
Phone(757) 953-3778
Sole ProprietorNo
Enumeration DateSeptember 2, 2010
Last NPPES UpdateAugust 19, 2014
✔ NPI 1194032748 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
License✔ Licensed in VA · 0101250168
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
1550 TOMCAT BLVD STE 150, Virginia Beach, VA 23460
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Derek Lee Deboer Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Other Providers at the Same Location NPPES 13

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

JEFFREY WALKER PA-C
Physician Assistant
1550 TOMCAT BLVD STE 150
VIRGINIA BEACH, VA 23460
Virginia Beach City (757) 953-3875
MISS AIMEE ELIZABETH DINWIDDIE MPA, PA-C
Physician Assistant (Medical)
1550 TOMCAT BLVD STE 150
VIRGINIA BEACH, VA 23460
Virginia Beach City (757) 953-3933
MR. ELLIOTT SPENCER KECK IDC
Military Health Care Provider (Independent Duty Corpsman)
1550 TOMCAT BLVD STE 150, NAS OCEANA, BHC
VIRGINIA BEACH, VA 23460
Virginia Beach City (757) 953-3792
MR. EDUARDO LINARES PHYSICIAN ASSISTANT
Physician Assistant
1550 TOMCAT BLVD STE 150, BRANCH HEALTH CLINIC - NAVAL AIR STATION OCEANA
VIRGINIA BEACH, VA 23460
Virginia Beach City (757) 953-3933
NMC PORTSMOUTH
Military/U.S. Coast Guard Pharmacy
1550 TOMCAT BLVD STE 150, NAVAL AIR STATION OCEANA
VIRGINIA BEACH, VA 23460
Virginia Beach City (757) 953-3818
DR. PRISCILLA SCANLON M.D.
Anesthesiology
1550 TOMCAT BLVD STE 150
VIRGINIA BEACH, VA 23460
Virginia Beach City (757) 314-7028
DR. KEVIN EUGENE BROOKS M.D. M.P.H.
Preventive Medicine (Aerospace Medicine)
1550 TOMCAT BLVD STE 150, BRANCH HEALTH CLINIC OCEANA
VIRGINIA BEACH, VA 23460
Virginia Beach City (757) 953-3835
MR. DAVID LAWRENCE AGEY PA-C
Physician Assistant (Medical)
1550 TOMCAT BLVD STE 150
VIRGINIA BEACH, VA 23460
Virginia Beach City (757) 953-3848

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 Derek Deboer's NPI number?

The NPI number for Derek Deboer is 1194032748. It was assigned to this individual provider in the NPPES registry on September 2, 2010.

Where is Derek Deboer located?

Derek Deboer practices at 1550 Tomcat Blvd Ste 150, Virginia Beach, VA 23460. The listed phone number is (757) 953-3778.

What is Derek Deboer's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Is Derek Deboer enrolled in Medicare?

Yes. Derek Deboer is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Derek Deboer was last updated on August 19, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.