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DAVID A. DERDZINSKI M.D.
NPI 1306054242
Anesthesiology in Brooklyn, NY

Active since May 21, 2007PECOS EnrolledAccepts Medicare Assignment
585 SCHENECTADY AVE, BROOKLYN, NY 11203(718) 604-5456 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About David A. Derdzinski M.d. NPPES

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

DAVID A. DERDZINSKI M.D. (NPI 1306054242) is an individual anesthesiology provider in Brooklyn, New York, licensed in New York (P55282) and active in the NPI registry since May 2007. He is enrolled in Medicare PECOS, is affiliated with New York Community Hospital Of Brooklyn, Inc., and is a graduate of University Of Wisconsin School Of Medicine (1998).

NPPES Registry Identity

NPI1306054242
Entity TypeIndividualMale
Primary Taxonomy207L00000X
Provider Legal NameDAVID A. DERDZINSKICredential: M.D.
Location Address585 SCHENECTADY AVEBrooklyn, NY 11203-1822
Mailing AddressPo Box 270Massapequa Park, NY 11762-0270 · (631) 264-2035 · Fax (631) 264-1418
Phone(718) 604-5456
Sole ProprietorNo
Medical School CMSUniversity Of Wisconsin School Of MedicineGraduated 1998
Enumeration DateMay 21, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1306054242 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAnesthesiologyAllopathic & Osteopathic Physicians
Taxonomy Code207L00000X
License✔ Licensed in NY · P55282
Definition
An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery.
585 SCHENECTADY AVE, Brooklyn, NY 11203
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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

David A. Derdzinski M.d. 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 ID7113017476
PECOS Enrollment IDI20071226000469
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

3

Medicare enrollment records show David Derdzinski reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

United Nyc Medical Associates LLC
3.2 mi
Anesthesiology
2525 KINGS HWY, NEW YORK COMMUNITY HOSPITAL ANESTHESIA DEPARTMENT
Brooklyn, NY 11229
  • Reassigned Medicare billing, New York enrollment
  • 28 clinicians in this Medicare group
NPI 1871844142 (718) 692-5364
Bk Community Care LLC
5.7 mi
Anesthesiology
CHIEN K CHANG MD PC, 109 LAFAYETTE ST SUITE 701
New York, NY 10013
  • Reassigned Medicare billing, New York enrollment
  • 3 clinicians in this Medicare group
NPI 1407501844 (212) 941-7856
Xie Jianlin Gastroenterology & Hepatology PLLC
9.0 mi
Gastroenterology
3808 UNION ST STE 6A
Flushing, NY 11354
  • Reassigned Medicare billing, New York enrollment
  • 17 clinicians in this Medicare group
NPI 1467759845 (718) 321-8840

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 4

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.

Anesthesia for lens surgery 00142
Anesthesia for lens surgery involves administering medication to numb the eye area, ensuring you feel no pain during the procedure. This can be a local anesthetic (numbing only the eye area) or general (where you're asleep). It helps make the surgery comfortable and stress-free.
53 services52 patients
Anesthesia for other procedure on urinary system through urethra 00910
Anesthesia for a procedure on the urinary system through the urethra involves using medicine to numb sensation in the area. This is done to ensure you feel no pain or discomfort during the procedure. The medicine can be given locally, regionally, or generally, depending on the specifics of your procedure.
21 services21 patients
Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope 00731
This procedure involves the use of an endoscope, a flexible tube with a light and camera, to examine your esophagus, stomach, or upper small bowel. Anesthesia ensures you are comfortable and pain-free during the procedure.
20 services19 patients
Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope 00731
This procedure involves the use of an endoscope, a flexible tube with a light and camera, to examine your esophagus, stomach, or upper small bowel. Anesthesia ensures you are comfortable and pain-free during the procedure.
11 services11 patients

Hospital Affiliations CMS Care Compare

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

New York Community Hospital Of Brooklyn, Inc.

Acute Care Hospitals · Brooklyn, NY
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330019
Location2525 Kings HighwayBrooklyn, NY 11229 · Kings County
Emergency services

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.

MARIO GUSTAVE M.D.
Psychiatry & Neurology (Geriatric Psychiatry)
585 SCHENECTADY AVE
BROOKLYN, NY 11203
Kings County (718) 604-5281
HIU SHAN LAI PHARM. D.
Pharmacist
585 SCHENECTADY AVE
BROOKLYN, NY 11203
Kings County (718) 604-5363
MR. ROBERT BUCK RPH
Pharmacist
585 SCHENECTADY AVE
BROOKLYN, NY 11203
Kings County (718) 604-5363
DR. MARK JEFFREY DRUKARTZ DDS
Dentist (General Practice)
585 SCHENECTADY AVE
BROOKLYN, NY 11203
Kings County (718) 604-5000
KINGSBROOK JEWISH MEDICAL CENTER
Clinic/Center
585 SCHENECTADY AVE, MANAGED CARE DEPT
BROOKLYN, NY 11203
Kings County (718) 604-5469
MARIE DENISE COLVERT FNP
Nurse Practitioner (Family)
585 SCHENECTADY AVE, EMERGENCY DEPARTMENT
BROOKLYN, NY 11203
Kings County (718) 604-5000
BENJAMIN WEE PHARM.D.
Pharmacist
585 SCHENECTADY AVE
BROOKLYN, NY 11203
Kings County (718) 363-6651
ELISABETH MARIE-HELENE LESCOUFLAIR M.D
Psychiatry & Neurology (Psychiatry)
585 SCHENECTADY AVE
BROOKLYN, NY 11203
Kings County (718) 604-5281

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 David Derdzinski's NPI number?

The NPI number for David Derdzinski is 1306054242. It was assigned to this individual provider in the NPPES registry on May 21, 2007.

Where is David Derdzinski located?

David Derdzinski practices at 585 Schenectady Ave, Brooklyn, NY 11203. The listed phone number is (718) 604-5456.

What is David Derdzinski's specialty?

The primary specialty registered for this NPI is Anesthesiology with taxonomy code 207L00000X.

Is David Derdzinski enrolled in Medicare?

Yes. David Derdzinski 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 David Derdzinski's services?

According to the CMS Revalidation Reassignment List (October 2026 release), David Derdzinski reassigns Medicare benefits to 3 organizations: United Nyc Medical Associates LLC (Brooklyn, NY), Bk Community Care LLC (New York, NY) and Xie Jianlin Gastroenterology & Hepatology PLLC (Flushing, NY). 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 David Derdzinski's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is David Derdzinski affiliated with any hospitals?

According to CMS data, David Derdzinski is affiliated with New York Community Hospital Of Brooklyn, Inc..

When was this NPI record last updated?

The NPPES record for David Derdzinski was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.