DEREK JAMES KNOTH
NPI 1730644907
Speech-Language Pathologist in Zeeland, MI
About Derek James Knoth NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DEREK JAMES KNOTH (NPI 1730644907) is an individual speech-language pathologist provider in Zeeland, Michigan, licensed in Michigan (7101005757) and active in the NPI registry since February 2019. He maintains a secondary practice location in Allendale.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Derek James Knoth is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Derek Knoth reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Canton, MI 48187
- Reassigned Medicare billing, Michigan enrollment
- 116 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.
Other Providers at the Same Location NPPES 4
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 Derek Knoth's NPI number?
The NPI number for Derek Knoth is 1730644907. It was assigned to this individual provider in the NPPES registry on February 1, 2019.
Where is Derek Knoth located?
Derek Knoth practices at 320 E Central Ave, Zeeland, MI 49464. The listed phone number is (616) 772-9191.
What is Derek Knoth's specialty?
The primary specialty registered for this NPI is Speech-Language Pathologist with taxonomy code 235Z00000X.
Is Derek Knoth enrolled in Medicare?
Yes. Derek Knoth is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Derek Knoth's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Derek Knoth reassigns Medicare benefits to Fox Rehabilitation Services Mi LLC (Canton, MI). 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 Derek Knoth'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 Derek Knoth was last updated on May 27, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.
# Derek James Knoth · NPI 1730644907
Speech-Language Pathologist provider in Zeeland, Michigan. Individual provider, active in the CMS NPPES registry since February 1, 2019.
## Identity
- **NPI:** 1730644907 (Entity type: Individual)
- **Enumerated:** February 1, 2019
- **Primary specialty:** Speech-Language Pathologist · taxonomy 235Z00000X
- **State license:** 7101005757 (Michigan)
- **Sole proprietor:** No
## Practice location
- **Address:** 320 E CENTRAL AVE, Zeeland, MI 49464-1706
- **Phone:** (616) 772-9191
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Bills Medicare through:** Fox Rehabilitation Services Mi LLC (NPI 1790324648, Canton, MI), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** May 27, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1730644907) · Data from the CMS NPPES public registry.