MR. DAVID P DEROSA D.C.
NPI 1689790115
Chiropractor in Wallingford, CT
About Mr. David P Derosa D.c. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MR. DAVID P DEROSA D.C. (NPI 1689790115) is an individual chiropractor in Wallingford, Connecticut, licensed in Connecticut (001390) and active in the NPI registry since March 2007. He is a graduate of Other (2000).
NPPES Registry Identity
Specialties & Licenses
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
Mr. David P Derosa 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.
Medicare Billing Reassignment
Medicare enrollment records show David Derosa reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Wallingford, CT 06492
- Reassigned Medicare billing, Connecticut enrollment
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Other Providers at the Same Location NPPES 18
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 David Derosa's NPI number?
The NPI number for David Derosa is 1689790115. It was assigned to this individual provider in the NPPES registry on March 22, 2007.
Where is David Derosa located?
David Derosa practices at 950 Yale Ave Unit 32, Wallingford, CT 06492. The listed phone number is (203) 284-9200.
What is David Derosa's specialty?
The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.
Is David Derosa enrolled in Medicare?
Yes. David Derosa 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 organization bills Medicare for David Derosa's services?
According to the CMS Revalidation Reassignment List (October 2026 release), David Derosa reassigns Medicare benefits to Precision Chiropractic Center LLC (Wallingford, CT). The 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 David Derosa's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for David Derosa was last updated on June 22, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Mr. David P Derosa, D.C. · NPI 1689790115
Chiropractor provider in Wallingford, Connecticut. Individual provider, active in the CMS NPPES registry since March 22, 2007.
## Identity
- **NPI:** 1689790115 (Entity type: Individual)
- **Enumerated:** March 22, 2007
- **Primary specialty:** Chiropractor · taxonomy 111N00000X
- **State license:** 001390 (Connecticut)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 950 YALE AVE, UNIT 32, Wallingford, CT 06492-1858
- **Phone:** (203) 284-9200
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Bills Medicare through:** Precision Chiropractic Center LLC (NPI 1891922902, Wallingford, CT), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2000
## Record status
- **NPPES last updated:** June 22, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1689790115) · Data from the CMS NPPES public registry.