DEREK BOYD SOUTHWICK MD
NPI 1801647284
Family Medicine in Portland, IN
About Derek Boyd Southwick Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DEREK BOYD SOUTHWICK MD (NPI 1801647284) is an individual family medicine provider in Portland, Indiana, licensed in Indiana (01098270A) and active in the NPI registry since April 2024. He is enrolled in Medicare PECOS, is affiliated with Indiana University Health Ball Memorial Hospital, and is a graduate of Other (2024).
NPPES Registry Identity
Specialties & Licenses
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
Derek Boyd Southwick 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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Indiana University Health Ball Memorial Hospital
Acute Care Hospitals · Muncie, INPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 47371 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
PORTLAND, IN 47371
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 Southwick's NPI number?
The NPI number for Derek Southwick is 1801647284. It was assigned to this individual provider in the NPPES registry on April 1, 2024.
Where is Derek Southwick located?
Derek Southwick practices at 500 W Votaw St, Portland, IN 47371. The listed phone number is (765) 741-1515.
What is Derek Southwick's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Derek Southwick enrolled in Medicare?
Yes. Derek Southwick 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.
Is Derek Southwick affiliated with any hospitals?
According to CMS data, Derek Southwick is affiliated with Indiana University Health Ball Memorial Hospital.
When was this NPI record last updated?
The NPPES record for Derek Southwick was last updated on March 30, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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 Boyd Southwick, MD · NPI 1801647284
Family Medicine physician in Portland, Indiana. Individual provider, active in the CMS NPPES registry since April 1, 2024.
## Identity
- **NPI:** 1801647284 (Entity type: Individual)
- **Enumerated:** April 1, 2024
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** 01098270A (Indiana)
- **Sole proprietor:** No
## Practice location
- **Address:** 500 W VOTAW ST, Portland, IN 47371-1322
- **Phone:** (765) 741-1515
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Other, class of 2024
## Record status
- **NPPES last updated:** March 30, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1801647284) · Data from the CMS NPPES public registry.