ALESSANDRA COSTANDINA DERICK DO
NPI 1558200964
Student in an Organized Health Care Education/Training Program in Columbus, OH

Active since March 28, 2026PECOS Enrolled
520 W 10TH AVE, COLUMBUS, OH 43210(614) 293-8000 Get Directions Write a Review

NPPES record last updated: March 28, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Alessandra Costandina Derick Do NPPES

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

ALESSANDRA COSTANDINA DERICK DO (NPI 1558200964) is an individual student in an organized health care education/training program in Columbus, Ohio, licensed in Ohio (58.035428) and active in the NPI registry since March 2026. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1558200964
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameALESSANDRA COSTANDINA DERICKCredential: DO
Location Address520 W 10TH AVEColumbus, OH 43210-1328
Mailing Address2181 Waltham RdColumbus, OH 43221-4151 · (614) 246-1247
Sole ProprietorNo
Enumeration DateMarch 28, 2026
NPPES CertifiedMarch 28, 2026
NPI 1558200964 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
License Licensed in OH · 58.035428
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
520 W 10TH AVE, Columbus, OH 43210

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Alessandra Costandina Derick Do 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.

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.

Emergency Medicine
520 W 10TH AVE
COLUMBUS, OH 43210
Registered Nurse
520 W 10TH AVE
COLUMBUS, OH 43210
Registered Nurse (Case Management)
520 W 10TH AVE
COLUMBUS, OH 43210
Internal Medicine (Pulmonary Disease)
520 W 10TH AVE
COLUMBUS, OH 43210
Emergency Medicine
520 W 10TH AVE
COLUMBUS, OH 43210
Hospitalist
520 W 10TH AVE
COLUMBUS, OH 43210
Anesthesiology
520 W 10TH AVE
COLUMBUS, OH 43210
Emergency Medicine
520 W 10TH AVE
COLUMBUS, OH 43210

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 Alessandra Derick's NPI number?

The NPI number for Alessandra Derick is 1558200964. It was assigned to this individual provider in the NPPES registry on March 28, 2026.

Where is Alessandra Derick located?

Alessandra Derick practices at 520 W 10th Ave, Columbus, OH 43210. The listed phone number is (614) 293-8000.

What is Alessandra Derick's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Alessandra Derick enrolled in Medicare?

Yes. Alessandra Derick is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Alessandra Derick was last updated on March 28, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.