DR. PHILIP JOHN DERLETH D.C.
NPI 1659696771
Student in an Organized Health Care Education/Training Program in Fairport, NY

Active since March 31, 2010Accepts Medicare Assignment
1387 FAIRPORT RD, SUITE 640, FAIRPORT, NY 14450(585) 598-3535 Get Directions Write a Review

NPPES record last updated: March 31, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Philip John Derleth D.c. NPPES

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

DR. PHILIP JOHN DERLETH D.C. (NPI 1659696771) is an individual student in an organized health care education/training program in Fairport, New York and active in the NPI registry since March 2010. He is a graduate of New York Chiropractic College (2010).

NPPES Registry Identity

NPI1659696771
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameDR. PHILIP JOHN DERLETHCredential: D.C.
Location Address1387 FAIRPORT RD, SUITE 640Fairport, NY 14450-2003
Mailing Address40 Valley Brook DrFairport, NY 14450-9377 · (585) 598-3535
Sole ProprietorNo
Medical School CMSNew York Chiropractic CollegeGraduated 2010
Enumeration DateMarch 31, 2010
NPI 1659696771 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

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.
1387 FAIRPORT RD, Fairport, NY 14450

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. Philip John Derleth D.c. 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 ID5597894873
PECOS Enrollment IDI20100525000554

Other Providers at the Same Location NPPES 17

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

Physical Therapist
1387 FAIRPORT RD, BUILDING 1100
FAIRPORT, NY 14450
Speech-Language Pathologist
1387 FAIRPORT RD
FAIRPORT, NY 14450
Speech-Language Pathologist
1387 FAIRPORT RD
FAIRPORT, NY 14450
Nurse Practitioner (Psychiatric/Mental Health)
1387 FAIRPORT RD, BUILDING 600 SUITE 660
FAIRPORT, NY 14450
Clinic/Center (Developmental Disabilities)
1387 FAIRPORT RD, BUILDING 1100
FAIRPORT, NY 14450
Psychiatry & Neurology (Psychiatry)
1387 FAIRPORT RD, SUITE 580
FAIRPORT, NY 14450
Social Worker (Clinical)
1387 FAIRPORT RD, SUITE 1000D
FAIRPORT, NY 14450
Psychiatry & Neurology (Psychiatry)
1387 FAIRPORT RD, 660 FAIRPORT OFFICE PARK
FAIRPORT, NY 14450

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 Philip Derleth's NPI number?

The NPI number for Philip Derleth is 1659696771. It was assigned to this individual provider in the NPPES registry on March 31, 2010.

Where is Philip Derleth located?

Philip Derleth practices at 1387 Fairport Rd Suite 640, Fairport, NY 14450. The listed phone number is (585) 598-3535.

What is Philip Derleth's specialty?

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

Is Philip Derleth enrolled in Medicare?

Yes. Philip Derleth 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 Philip Derleth was last updated on March 31, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.