COURTNEY KOWALCZYK DERDERIAN MD
NPI 1699978346
Anesthesiology in Dallas, TX

Q: What is Courtney Derderian's NPI number?

The NPI number for Courtney Derderian is 1699978346. It was assigned to this individual provider in the NPPES registry on June 8, 2007. The provider is also known as Courtney Anne Kowalczyk.

Q: What is Courtney Derderian's specialty?

The primary specialty registered for this NPI is Anesthesiology with taxonomy code 207L00000X.

Active since June 08, 2007PECOS EnrolledAccepts Medicare Assignment

1935 MEDICAL DISTRICT DR, DEPARTMENT OF ANESTHESIOLOGY, DALLAS, TX 75235(214) 456-6393(214) 456-7232 Get Directions Write a Review

NPPES record last updated: November 25, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Courtney Kowalczyk Derderian Md NPPES

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

COURTNEY KOWALCZYK DERDERIAN MD (NPI 1699978346) is an individual anesthesiology provider in Dallas, Texas, licensed in Texas (P2708) and active in the NPI registry since June 2007. She is enrolled in Medicare PECOS and is a graduate of University Of Virginia School Of Medicine (2007).

NPPES Registry Identity

NPI1699978346

Entity TypeIndividualFemale

Primary Taxonomy207L00000X

Provider Legal NameCOURTNEY KOWALCZYK DERDERIANCredential: MD

Location Address1935 MEDICAL DISTRICT DR, DEPARTMENT OF ANESTHESIOLOGYDallas, TX 75235-7701

Mailing Address1935 Medical District Dr, Department Of AnesthesiologyDallas, TX 75235-7701 · (214) 456-6393 · Fax (214) 456-7232

Phone(214) 456-6393

Fax(214) 456-7232

Sole ProprietorNo

Medical School CMSUniversity Of Virginia School Of MedicineGraduated 2007

Enumeration DateJune 8, 2007

Last NPPES UpdateNovember 25, 2015

✔ NPI 1699978346 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyAnesthesiologyAllopathic & Osteopathic Physicians

Taxonomy Code207L00000X

License✔ Licensed in TX · P2708

Definition

An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery.

Also ListedAnesthesiology · Pediatric AnesthesiologyTaxonomy 207LP3000X · License P2708 (TX)

1935 MEDICAL DISTRICT DR, Dallas, TX 75235

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Other Names 1

Former Name (1)Courtney Anne Kowalczyk

Other Identifiers 2

Medicare UPINTXB159467TX

Medicaid3054389 01TX

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Baylor Scott and White Health Plan.Insurance ›

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

Courtney Kowalczyk Derderian Md 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 ID9830346154

PECOS Enrollment IDI20120821000978

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.

TERESA ANNA JONES CPNP-AC

Nurse Practitioner (Pediatrics)

1935 MEDICAL DISTRICT DR
DALLAS, TX 75235

Dallas County (973) 801-0173

CASSIE ANN LAURENCE PA-C

Physician Assistant

1935 MEDICAL DISTRICT DR
DALLAS, TX 75235

Dallas County (214) 456-7000

MICHELE WILLET RYLANDER RN, MSN, CPNP

Nurse Practitioner (Pediatrics)

1935 MEDICAL DISTRICT DR
DALLAS, TX 75235

Dallas County (214) 456-7000

MR. ADAM CHRISTOPHER WENNER CPNP-AC

Nurse Practitioner (Pediatrics, Critical Care)

1935 MEDICAL DISTRICT DR
DALLAS, TX 75235

Dallas County (469) 303-7000

RICHARD DAVID SENTELLE D.M.D./PH.D.

Student in an Organized Health Care Education/Training Program

1935 MEDICAL DISTRICT DR, GRADUATE MEDICAL EDUCATION
DALLAS, TX 75235

Dallas County (214) 456-2735

KELSEY NICOLE BURKHART PA

Physician Assistant

1935 MEDICAL DISTRICT DR
DALLAS, TX 75235

Dallas County (214) 456-7000

RENAE JEAN WHITE MD

Student in an Organized Health Care Education/Training Program

1935 MEDICAL DISTRICT DR
DALLAS, TX 75235

Dallas County (214) 456-2735

VICTORIA LEE CPNP-AC/PC

Nurse Practitioner (Pediatrics)

1935 MEDICAL DISTRICT DR
DALLAS, TX 75235

Dallas County (214) 456-7000

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 Courtney Derderian's NPI number?

The NPI number for Courtney Derderian is 1699978346. It was assigned to this individual provider in the NPPES registry on June 8, 2007. The provider is also known as Courtney Anne Kowalczyk.

Where is Courtney Derderian located?

Courtney Derderian practices at 1935 Medical District Dr Department Of Anesthesiology, Dallas, TX 75235. The listed phone number is (214) 456-6393.

What is Courtney Derderian's specialty?

The primary specialty registered for this NPI is Anesthesiology with taxonomy code 207L00000X.

Is Courtney Derderian enrolled in Medicare?

Yes. Courtney Derderian 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.

What insurance does Courtney Derderian accept?

Health plans from Baylor Scott and White Health Plan list Courtney Derderian 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.

When was this NPI record last updated?

The NPPES record for Courtney Derderian was last updated on November 25, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.