JOHN W DERR JR. M. D.
NPI 1801883988
Specialist in Louisville, KY

Q: What is John Derr's NPI number?

The NPI number for John Derr is 1801883988. It was assigned to this individual provider in the NPPES registry on October 4, 2005.

Q: What is John Derr's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Q: When was this NPI record last updated?

The NPPES record for John Derr was last updated on October 21, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.

Active since October 04, 2005PECOS Enrolled

4001 KRESGE WAY, SUITE 320, LOUISVILLE, KY 40207(502) 895-5850(502) 895-1210 Get Directions Write a Review

NPPES record last updated: October 21, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About John W Derr Jr. M. D. NPPES

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

JOHN W DERR JR. M. D. (NPI 1801883988) is an individual specialist in Louisville, Kentucky, licensed in Kentucky (25991) and active in the NPI registry since October 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1801883988

Entity TypeIndividualMale

Primary Taxonomy174400000X

Provider Legal NameJOHN W DERR JR.Credential: M. D.

Location Address4001 KRESGE WAY, SUITE 320Louisville, KY 40207-4640

Mailing Address4001 Kresge Way, Suite 320Louisville, KY 40207-4640 · (502) 895-5850 · Fax (502) 895-1210

Phone(502) 895-5850

Fax(502) 895-1210

Sole ProprietorNo

Enumeration DateOctober 4, 2005

Last NPPES UpdateOctober 21, 2014

✔ NPI 1801883988 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers

Taxonomy Code174400000X

License✔ Licensed in KY · 25991

Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

4001 KRESGE WAY, Louisville, KY 40207

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Other Identifiers 4

Medicaid100345240BIN

Medicare PIN1397714KY

Medicare UPINC78434KY

Medicaid64259914KY

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

John W Derr Jr. M. D. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

WYGAL & NEWMAN LLC

Specialist

4001 KRESGE WAY, SUITE 324
LOUISVILLE, KY 40207

Jefferson County (502) 894-4408

JANET L HONCHELL MD

Obstetrics & Gynecology

4001 KRESGE WAY, SUITE 324
LOUISVILLE, KY 40207

Jefferson County (502) 894-4408

DR. ANDREW D. BAILEY M.D.

Internal Medicine (Gastroenterology)

4001 KRESGE WAY, SUITE 130
LOUISVILLE, KY 40207

Jefferson County (502) 896-8447

DR. REID B BROWN M.D.

Orthopaedic Surgery

4001 KRESGE WAY, SUITE 100
LOUISVILLE, KY 40207

Jefferson County (502) 897-6579

ANDREW D BAILEY MD

Internal Medicine (Gastroenterology)

4001 KRESGE WAY, SUITE 130
LOUISVILLE, KY 40207

Jefferson County (502) 896-8447

JOHN M WEETER MD

Surgery (Plastic and Reconstructive Surgery)

4001 KRESGE WAY, STE 220
LOUISVILLE, KY 40207

Jefferson County (502) 895-5466

MRS. ELLEN JEAN JOFFE PA-C

Physician Assistant (Surgical)

4001 KRESGE WAY, SUITE 200
LOUISVILLE, KY 40207

Jefferson County (502) 895-1995

ORTHOPAEDIC SPECIALISTS PLLC

Specialist

4001 KRESGE WAY, SUITE 330
LOUISVILLE, KY 40207

Jefferson County (502) 212-2663

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 John Derr's NPI number?

The NPI number for John Derr is 1801883988. It was assigned to this individual provider in the NPPES registry on October 4, 2005.

Where is John Derr located?

John Derr practices at 4001 Kresge Way Suite 320, Louisville, KY 40207. The listed phone number is (502) 895-5850.

What is John Derr's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Is John Derr enrolled in Medicare?

Yes. John Derr is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for John Derr was last updated on October 21, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.