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DANIEL KADE DERRICK MD
NPI 1639929904
Student in an Organized Health Care Education/Training Program in Tucson, AZ

Active since March 27, 2024PECOS Enrolled
1625 N CAMPBELL AVE, TUCSON, AZ 85719(520) 694-0111 Get Directions Write a Review

NPPES record last updated: May 20, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Daniel Kade Derrick Md NPPES

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

DANIEL KADE DERRICK MD (NPI 1639929904) is an individual student in an organized health care education/training program in Tucson, Arizona and active in the NPI registry since March 2024. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1639929904
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameDANIEL KADE DERRICKCredential: MD
Location Address1625 N CAMPBELL AVETucson, AZ 85719-4330
Mailing AddressPo Box 245067Tucson, AZ 85724-5067
Phone(520) 694-0111
Sole ProprietorNo
Enumeration DateMarch 27, 2024
Last NPPES UpdateMay 20, 2025
NPPES CertifiedMay 20, 2025
✔ NPI 1639929904 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
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.
Also ListedRadiology · Diagnostic RadiologyTaxonomy 2085R0202X · License R80907 (AZ)
1625 N CAMPBELL AVE, Tucson, AZ 85719
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Daniel Kade Derrick Md 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.

KATELYN DESALVO MD
Pediatrics
1625 N CAMPBELL AVE
TUCSON, AZ 85719
Pima County (520) 626-7944
DR. JESSICA WRIGHT
Pediatrics
1625 N CAMPBELL AVE
TUCSON, AZ 85719
Pima County (520) 694-0111
ALEXANDRIA TAYSOM PA
Physician Assistant
1625 N CAMPBELL AVE
TUCSON, AZ 85719
Pima County (520) 694-0111
ERIN RIECK DO
Emergency Medicine
1625 N CAMPBELL AVE
TUCSON, AZ 85719
Pima County (520) 694-8888
JESSICA HANNA NRP
Emergency Medical Technician, Paramedic
1625 N CAMPBELL AVE
TUCSON, AZ 85719
Pima County (907) 598-3566
CHRISTOPHER J KARASCH DO
Anesthesiology
1625 N CAMPBELL AVE
TUCSON, AZ 85719
Pima County (520) 626-7141
DR. JOSHUA MICHAEL ROCKEY MD
Radiology (Diagnostic Radiology)
1625 N CAMPBELL AVE
TUCSON, AZ 85719
Pima County (520) 694-0111
DR. ALINA NGUYEN DO
Emergency Medicine
1625 N CAMPBELL AVE
TUCSON, AZ 85719
Pima County (520) 694-8888

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 Daniel Derrick's NPI number?

The NPI number for Daniel Derrick is 1639929904. It was assigned to this individual provider in the NPPES registry on March 27, 2024.

Where is Daniel Derrick located?

Daniel Derrick practices at 1625 N Campbell Ave, Tucson, AZ 85719. The listed phone number is (520) 694-0111.

What is Daniel Derrick's specialty?

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

Is Daniel Derrick enrolled in Medicare?

Yes. Daniel Derrick is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Daniel Derrick was last updated on May 20, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.