DR. JOHN P. DERVAN MD
NPI 1871524439
Internal Medicine - Cardiovascular Disease in Stony Brook, NY
About Dr. John P. Dervan Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. JOHN P. DERVAN MD (NPI 1871524439) is an individual cardiovascular disease provider in Stony Brook, New York, licensed in New York (166207) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, is affiliated with Suny/stony Brook University Hospital, and is a graduate of Saint Louis University School Of Medicine (1976).
NPPES Registry Identity
Specialties & Licenses 2
Other Identifiers 1
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
Dr. John P. Dervan 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.
Suny/Stony Brook University Hospital
Acute Care Hospitals · Stony Brook, NYPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 11794 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
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 Dervan's NPI number?
The NPI number for John Dervan is 1871524439. It was assigned to this individual provider in the NPPES registry on July 5, 2006.
Where is John Dervan located?
John Dervan practices at 100 Nicolls Rd # T-16030, Stony Brook, NY 11794. The listed phone number is (631) 444-3655.
What is John Dervan's specialty?
The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.
Is John Dervan enrolled in Medicare?
Yes. John Dervan 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 John Dervan affiliated with any hospitals?
According to CMS data, John Dervan is affiliated with Suny/Stony Brook University Hospital.
When was this NPI record last updated?
The NPPES record for John Dervan was last updated on January 25, 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.
# Dr. John P. Dervan, MD · NPI 1871524439
Cardiovascular Disease physician in Stony Brook, New York. Individual provider, active in the CMS NPPES registry since July 5, 2006.
## Identity
- **NPI:** 1871524439 (Entity type: Individual)
- **Enumerated:** July 5, 2006
- **Primary specialty:** Internal Medicine - Cardiovascular Disease · taxonomy 207RC0000X
- **State license:** 166207 (New York)
- **Sole proprietor:** No
## Practice location
- **Address:** 100 NICOLLS RD # T-16030, Stony Brook, NY 11794-0001
- **Phone:** (631) 444-3655 · **Fax:** (631) 444-1054
## 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:** Saint Louis University School Of Medicine, class of 1976
## Record status
- **NPPES last updated:** January 25, 2022
- **Other identifiers:** Medicaid 00964109 (NV)
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Source: [NPI Profile](https://npiprofile.com/npi/1871524439) · Data from the CMS NPPES public registry.