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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 30 days.

DR. GARY M DERESH D.P.M.
NPI 1437139409
Podiatrist - Foot Surgery in Caguas, PR

Active since January 18, 2006PECOS Enrolled
CONSOLIDATED MEDICAL PLAZA 209, 201 GAUTIER BENITEZ, CAGUAS, PR 00725(787) 745-4695(787) 745-4695 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 13, 2026, Dec 23, 2016 (2 updates tracked since 2016).

About Dr. Gary M Deresh D.p.m. NPPES

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

DR. GARY M DERESH D.P.M. (NPI 1437139409) is an individual foot surgery provider in Caguas, Puerto Rico, licensed in Puerto Rico (57) and active in the NPI registry since January 2006. He is enrolled in Medicare PECOS and is a graduate of Kent State University College Of Podiatric Medicine (1993).

NPPES Registry Identity

NPI1437139409
Entity TypeIndividualMale
Primary Taxonomy213ES0131X
Provider Legal NameDR. GARY M DERESHCredential: D.P.M.
Location AddressCONSOLIDATED MEDICAL PLAZA 209, 201 GAUTIER BENITEZCaguas, PR 00725
Mailing Address35 Juan C Bordon Ste 67, Pmb 394Guaynabo, PR 00969 · (787) 505-9237
Phone(787) 745-4695
Fax(787) 745-4695
Sole ProprietorNo
Medical School CMSKent State University College Of Podiatric MedicineGraduated 1993
Enumeration DateJanuary 18, 2006
Last NPPES UpdateJuly 13, 20262 updates tracked since enumeration
✔ NPI 1437139409 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPodiatrist · Foot SurgeryPodiatric Medicine & Surgery Service Providers
Taxonomy Code213ES0131X
License✔ Licensed in PR · 57

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Gary M Deresh D.p.m. 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 ID5991967606
PECOS Enrollment IDI20120425000490
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.

Areas of Expertise CMS Part B claims 2

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.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
42 services19 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
15 services15 patients

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 Gary Deresh's NPI number?

The NPI number for Gary Deresh is 1437139409. It was assigned to this individual provider in the NPPES registry on January 18, 2006.

Where is Gary Deresh located?

Gary Deresh practices at Consolidated Medical Plaza 209 201 Gautier Benitez, Caguas, PR 00725. The listed phone number is (787) 745-4695.

What is Gary Deresh's specialty?

The primary specialty registered for this NPI is Podiatrist, specializing in Foot Surgery, with taxonomy code 213ES0131X.

Is Gary Deresh enrolled in Medicare?

Yes. Gary Deresh 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.

When was this NPI record last updated?

The NPPES record for Gary Deresh was last updated on July 13, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.