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JOSE JAVIER DERDOY MD
NPI 1396838876
Pediatrics - Pediatric Gastroenterology in Saint Louis, MO

Active since October 02, 2006PECOS Enrolled
615 S NEW BALLAS RD, CHILDREN'S HOSPITAL, GROUND FLOOR, SUITE YG220, SAINT LOUIS, MO 63141(314) 251-5550(314) 251-5552 Get Directions Write a Review

NPPES record last updated: October 4, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Jose Javier Derdoy Md NPPES

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

JOSE JAVIER DERDOY MD (NPI 1396838876) is an individual pediatric gastroenterology provider in Saint Louis, Missouri, licensed in Missouri (2007002166) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS and maintains a secondary practice location in Louisville.

NPPES Registry Identity

NPI1396838876
Entity TypeIndividualMale
Primary Taxonomy2080P0206X
Provider Legal NameJOSE JAVIER DERDOYCredential: MD
Location Address615 S NEW BALLAS RD, CHILDREN'S HOSPITAL, GROUND FLOOR, SUITE YG220Saint Louis, MO 63141-8221
Mailing Address615 S New Ballas Rd, Children's Hospital, Ground Floor, Suite Yg220Saint Louis, MO 63141-8221 · (314) 251-5550 · Fax (314) 251-5552
Phone(314) 251-5550
Fax(314) 251-5552
Sole ProprietorNo
Enumeration DateOctober 2, 2006
Last NPPES UpdateOctober 4, 2024
NPPES CertifiedOctober 4, 2024
✔ NPI 1396838876 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatrics · Pediatric GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code2080P0206X
Licenses✔ Licensed in MO · 2007002166✔ Licensed in KY · 60035
Definition
A pediatrician who specializes in the diagnosis and treatment of diseases of the digestive systems of infants, children and adolescents. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using lighted scopes to see internal organs.
Also ListedSpecialistTaxonomy 174400000X · License 430654872 (MO)
615 S NEW BALLAS RD, Saint Louis, MO 63141
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Secondary Practice Location 1

Location 1231 E Chestnut StLouisville, KY 40202-1821 · Phone (502) 588-2330 · Fax (502) 588-9513

Other Identifiers 3

Medicaid1396838876MO
Medicaid00A730200CA
Medicaid300096168IN

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Buckeye Health Plan, Ambetter from Home State Health and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jose Javier Derdoy 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 63141 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
$128.28 typical visit price
range $55.65 – $169.38
Typical copayment $32.07 (range $13.91 – $42.34)
Most-billed visit code 99204
Established Patient
$98.37 typical visit price
range $17.76 – $137.92
Typical copayment $24.59 (range $4.44 – $34.48)
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.

MRS. PATRICIA ANN RICE APN
Nurse Practitioner (Family)
615 S NEW BALLAS RD
SAINT LOUIS, MO 63141
St. Louis County (314) 251-6339
MARY BETH WALKER FNP
Nurse Practitioner (Family)
615 S NEW BALLAS RD
SAINT LOUIS, MO 63141
St. Louis County (314) 251-6000
LOVEPREET SINGH RANDHAWA MD
Internal Medicine
615 S NEW BALLAS RD
SAINT LOUIS, MO 63141
St. Louis County (314) 251-6339
DR. CONNOR ROBERT REIS DO
Internal Medicine
615 S NEW BALLAS RD
SAINT LOUIS, MO 63141
St. Louis County (314) 251-6930
MR. SHEBY THOMAS AA-S
Anesthesiologist Assistant
615 S NEW BALLAS RD, DEPT OF ANESTHESIOLOGY
SAINT LOUIS, MO 63141
St. Louis County (636) 386-9224
JOSE L OLIVER SEGARRA
Dentist (General Practice)
615 S NEW BALLAS RD
SAINT LOUIS, MO 63141
St. Louis County (314) 251-6382
CAREN BIRKENKAMP PMHNP-BC
Nurse Practitioner (Psychiatric/Mental Health)
615 S NEW BALLAS RD
SAINT LOUIS, MO 63141
St. Louis County (314) 251-6000
ANAS M HASIC MD
Internal Medicine
615 S NEW BALLAS RD
SAINT LOUIS, MO 63141
St. Louis County (314) 509-5305

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 Jose Derdoy's NPI number?

The NPI number for Jose Derdoy is 1396838876. It was assigned to this individual provider in the NPPES registry on October 2, 2006.

Where is Jose Derdoy located?

Jose Derdoy practices at 615 S New Ballas Rd Children's Hospital, Ground Floor, Suite Yg220, Saint Louis, MO 63141. The listed phone number is (314) 251-5550.

What is Jose Derdoy's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Gastroenterology, with taxonomy code 2080P0206X.

Is Jose Derdoy enrolled in Medicare?

Yes. Jose Derdoy is registered in the Medicare PECOS enrollment system.

What insurance does Jose Derdoy accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Arkansas Health & Wellness, Ambetter from Buckeye Health Plan and Ambetter from Home State Health and 8 other insurers list Jose Derdoy 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 Jose Derdoy was last updated on October 4, 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.