DERRICK LADEAIROUS DR.
NPI 1407327448
Chiropractor in Syracuse, NY
About Derrick Ladeairous Dr. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DERRICK LADEAIROUS DR. (NPI 1407327448) is an individual chiropractor in Syracuse, New York, licensed in New York (X013188) and active in the NPI registry since December 2018. He maintains a secondary practice location in Smithtown and is a graduate of New York Chiropractic College (2018).
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Other Identifiers 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Derrick Ladeairous Dr. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Derrick Ladeairous reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Essex Junction, VT 05452
- Reassigned Medicare billing, Vermont enrollment
- 2 clinicians in this Medicare group
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
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.
Other Providers at the Same Location NPPES 4
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Derrick Ladeairous's NPI number?
The NPI number for Derrick Ladeairous is 1407327448. It was assigned to this individual provider in the NPPES registry on December 17, 2018.
Where is Derrick Ladeairous located?
Derrick Ladeairous practices at 1732 W Genesee St, Syracuse, NY 13204. The listed phone number is (631) 974-1849.
What is Derrick Ladeairous's specialty?
The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.
Is Derrick Ladeairous enrolled in Medicare?
Yes. Derrick Ladeairous is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Derrick Ladeairous's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Derrick Ladeairous reassigns Medicare benefits to (Essex Junction, VT). The 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 Derrick Ladeairous's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Derrick Ladeairous was last updated on March 6, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.
# Derrick Ladeairous, DR. · NPI 1407327448
Chiropractor provider in Syracuse, New York. Individual provider, active in the CMS NPPES registry since December 17, 2018.
## Identity
- **NPI:** 1407327448 (Entity type: Individual)
- **Enumerated:** December 17, 2018
- **Primary specialty:** Chiropractor · taxonomy 111N00000X
- **State license:** X013188 (New York)
- **Sole proprietor:** No
## Practice location
- **Address:** 1732 W GENESEE ST, Syracuse, NY 13204
- **Phone:** (631) 974-1849
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Bills Medicare through:** (NPI 1467419887, Essex Junction, VT), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** New York Chiropractic College, class of 2018
## Record status
- **NPPES last updated:** March 6, 2019
- **Other identifiers:** Other 1467755751 (NY)
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Source: [NPI Profile](https://npiprofile.com/npi/1407327448) · Data from the CMS NPPES public registry.