DERICK DERMATOLOGY, PLLC
NPI 1225747363
Dermatology in Riverview, FL

Active since November 17, 2022
10114 GIBSONTON DR, RIVERVIEW, FL 33578(847) 381-8899 Get Directions Write a Review

NPPES record last updated: November 17, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Derick Dermatology, Pllc NPPES

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

DERICK DERMATOLOGY, PLLC (NPI 1225747363) is a healthcare organization registered as a dermatology in Riverview, Florida and active in the NPI registry since November 2022. The organization lists Amy Jane Derick, Medical Director, as its authorized official.

NPPES Registry Identity

NPI1225747363
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameDERICK DERMATOLOGY, PLLC
Location Address10114 GIBSONTON DRRiverview, FL 33578-5305
Mailing Address10114 Gibsonton DrRiverview, FL 33578-5305 · (847) 381-8899
Organization SubpartNo
Authorized OfficialAmy Jane DerickMedical Director · (847) 381-8899
Enumeration DateNovember 17, 2022
NPPES CertifiedNovember 17, 2022
✔ NPI 1225747363 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
Definition
A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.
10114 GIBSONTON DR, Riverview, FL 33578

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Derick Dermatology, Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Derick Dermatology, PLLC, which bills Medicare for the services they deliver. They are listed nearest first.

Clinicians, nearest first (2)

Dermatology
NPI 1174987259
2590 HEALING WAY STE 220
Wesley Chapel, FL 33543
(847) 381-8899
✔ PECOS✔ Accepts Medicare23 mi
Dermatology
NPI 1245279884
1531 S GROVE AVE SUITE 101
Barrington, IL 60010
(847) 381-8899
✔ PECOS✔ Accepts Medicare1,037 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Derick Dermatology, PLLC's NPI number?

The NPI number for Derick Dermatology, PLLC is 1225747363. It was assigned to this organization in the NPPES registry on November 17, 2022.

Where is Derick Dermatology, PLLC located?

Derick Dermatology, PLLC is located at 10114 Gibsonton Dr, Riverview, FL 33578. The listed phone number is (847) 381-8899.

What is Derick Dermatology, PLLC's specialty?

The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.

Is Derick Dermatology, PLLC enrolled in Medicare?

Yes. Derick Dermatology, PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Derick Dermatology, PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Dermatology, reassign their Medicare billing to Derick Dermatology, PLLC. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Derick Dermatology, PLLC accept?

Health plans from AvMed, Florida Blue (BlueCross BlueShield FL) and Molina Healthcare list Derick Dermatology, PLLC 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 Derick Dermatology, PLLC was last updated on November 17, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.