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GREGORY PAUL DERDERIAN D.O.
NPI 1457355737
Surgery - Vascular Surgery in Birmingham, MI

Active since June 02, 2005PECOS EnrolledAccepts Medicare Assignment
538 N OLD WOODWARD AVE, BIRMINGHAM, MI 48009(248) 594-3091(248) 594-3068 Get Directions Write a Review

NPPES record last updated: September 18, 2012. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Gregory Paul Derderian D.o. NPPES

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

GREGORY PAUL DERDERIAN D.O. (NPI 1457355737) is an individual vascular surgery provider in Birmingham, Michigan, licensed in Michigan (5101007182) and active in the NPI registry since June 2005. He is enrolled in Medicare PECOS and is a graduate of Kansas City College Of Medicine And Surgery (1976).

NPPES Registry Identity

NPI1457355737
Entity TypeIndividualMale
Primary Taxonomy2086S0129X
Provider Legal NameGREGORY PAUL DERDERIANCredential: D.O.
Location Address538 N OLD WOODWARD AVEBirmingham, MI 48009-5375
Mailing Address538 N Old Woodward AveBirmingham, MI 48009-5375 · (248) 594-3091 · Fax (248) 594-3068
Phone(248) 594-3091
Fax(248) 594-3068
Sole ProprietorNo
Medical School CMSKansas City College Of Medicine And SurgeryGraduated 1976
Enumeration DateJune 2, 2005
Last NPPES UpdateSeptember 18, 2012
✔ NPI 1457355737 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgery · Vascular SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code2086S0129X
License✔ Licensed in MI · 5101007182
Definition
A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.
538 N OLD WOODWARD AVE, Birmingham, MI 48009
Open in Google Maps ↗

Other Identifiers 3

Medicaid4406461MI
Medicare ID-Type Unspecified52500212MI
Medicare UPINE25897MI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company.Insurance ›

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

Gregory Paul Derderian D.o. 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 ID8426141979
PECOS Enrollment IDI20070829000825
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 48009 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
$90.76 typical visit price
range $58.04 – $177.36
Typical copayment $22.69 (range $14.51 – $44.34)
Most-billed visit code 99203
Established Patient
$72.38 typical visit price
range $18.32 – $143.49
Typical copayment $18.09 (range $4.58 – $35.87)
Most-billed visit code 99213
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

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MICHIGAN VASCULAR INSTITUTE PLLC
Surgery (Vascular Surgery)
538 N OLD WOODWARD AVE
BIRMINGHAM, MI 48009
Oakland County (248) 594-3091

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 Gregory Derderian's NPI number?

The NPI number for Gregory Derderian is 1457355737. It was assigned to this individual provider in the NPPES registry on June 2, 2005.

Where is Gregory Derderian located?

Gregory Derderian practices at 538 N Old Woodward Ave, Birmingham, MI 48009. The listed phone number is (248) 594-3091.

What is Gregory Derderian's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Vascular Surgery, with taxonomy code 2086S0129X.

Is Gregory Derderian enrolled in Medicare?

Yes. Gregory Derderian 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.

What insurance does Gregory Derderian accept?

Health plans from Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company list Gregory Derderian 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 Gregory Derderian was last updated on September 18, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.