DR. DEREK JORDAN ESSEGIAN MD PHD
NPI 1588308779
Internal Medicine in Coral Gables, FL
About Dr. Derek Jordan Essegian Md Phd NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. DEREK JORDAN ESSEGIAN MD PHD (NPI 1588308779) is an individual internal medicine provider in Coral Gables, Florida, licensed in Florida (ME175381) and active in the NPI registry since April 2022. He is enrolled in Medicare PECOS, is affiliated with Saratoga Hospital, and is a graduate of Other (2022).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Dr. Derek Jordan Essegian Md Phd 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.
Medicare Billing Reassignments
3Medicare enrollment records show Derek Essegian reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Miami, FL 33176
- Reassigned Medicare billing, Florida enrollment
- 3,639 clinicians in this Medicare group
North Port, FL 34287
- Reassigned Medicare billing, Florida enrollment
- 186 clinicians in this Medicare group
Ballston Lake, NY 12019
- Reassigned Medicare billing, New York enrollment
- 456 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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Saratoga Hospital
Acute Care Hospitals · Saratoga Springs, NYPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 33146 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
CORAL GABLES, FL 33146
CORAL GABLES, FL 33146
CORAL GABLES, FL 33146
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 Derek Essegian's NPI number?
The NPI number for Derek Essegian is 1588308779. It was assigned to this individual provider in the NPPES registry on April 24, 2022.
Where is Derek Essegian located?
Derek Essegian practices at 5555 Ponce De Leon Blvd, Coral Gables, FL 33146. The listed phone number is (305) 689-0809.
What is Derek Essegian's specialty?
The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.
Is Derek Essegian enrolled in Medicare?
Yes. Derek Essegian 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.
Which organizations bill Medicare for Derek Essegian's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Derek Essegian reassigns Medicare benefits to 3 organizations: University Of Miami (Miami, FL), Florida Medical Specialists, LLC (North Port, FL) and Saratoga Hospital (Ballston Lake, NY). Each 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 Derek Essegian's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Derek Essegian accept?
Health plans from Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company), Molina Healthcare and UnitedHealthcare list Derek Essegian 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.
Is Derek Essegian affiliated with any hospitals?
According to CMS data, Derek Essegian is affiliated with Saratoga Hospital.
When was this NPI record last updated?
The NPPES record for Derek Essegian was last updated on September 2, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.
# Dr. Derek Jordan Essegian, MD PHD · NPI 1588308779
Internal Medicine physician in Coral Gables, Florida. Individual provider, active in the CMS NPPES registry since April 24, 2022.
## Identity
- **NPI:** 1588308779 (Entity type: Individual)
- **Enumerated:** April 24, 2022
- **Primary specialty:** Internal Medicine · taxonomy 207R00000X
- **State license:** ME175381 (Florida)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 5555 PONCE DE LEON BLVD, Coral Gables, FL 33146-2513
- **Phone:** (305) 689-0809
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): University Of Miami (NPI 1912956566, Miami, FL); Florida Medical Specialists, LLC (NPI 1013550102, North Port, FL); Saratoga Hospital (NPI 1437418795, Ballston Lake, NY) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2022
## Record status
- **NPPES last updated:** September 2, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1588308779) · Data from the CMS NPPES public registry.