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DR. PAUL DERIDDER MD
NPI 1871877134
Urology in Newport Beach, CA

Active since October 05, 2011PECOS Enrolled
4108 RIVER AVE, NEWPORT BEACH, CA 92663(714) 345-5887(949) 548-1994 Get Directions Write a Review

NPPES record last updated: October 5, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Paul Deridder Md NPPES

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

DR. PAUL DERIDDER MD (NPI 1871877134) is an individual urology provider in Newport Beach, California, licensed in California (G33885) and active in the NPI registry since October 2011. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1871877134
Entity TypeIndividualMale
Primary Taxonomy208800000X
Provider Legal NameDR. PAUL DERIDDERCredential: MD
Location Address4108 RIVER AVENewport Beach, CA 92663-2915
Mailing Address4108 River AveNewport Beach, CA 92663-2915 · (714) 345-5887 · Fax (949) 548-1994
Phone(714) 345-5887
Fax(949) 548-1994
Sole ProprietorYes
Enumeration DateOctober 5, 2011
✔ NPI 1871877134 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyUrologyAllopathic & Osteopathic Physicians
Taxonomy Code208800000X
License✔ Licensed in CA · G33885
Definition
A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.
4108 RIVER AVE, Newport Beach, CA 92663
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Other Names 1

Professional Name (2)Dr. Paul Deridder Md

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Paul Deridder Md 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92663 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$142.39 typical visit price
range $62.96 – $187.60
Typical copayment $35.59 (range $15.74 – $46.90)
Most-billed visit code 99204
Established Patient
$77.96 typical visit price
range $20.84 – $153.61
Typical copayment $19.49 (range $5.21 – $38.40)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Paul Deridder's NPI number?

The NPI number for Paul Deridder is 1871877134. It was assigned to this individual provider in the NPPES registry on October 5, 2011. The provider is also known as Dr. Paul Deridder MD.

Where is Paul Deridder located?

Paul Deridder practices at 4108 River Ave, Newport Beach, CA 92663. The listed phone number is (714) 345-5887.

What is Paul Deridder's specialty?

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

Is Paul Deridder enrolled in Medicare?

Yes. Paul Deridder is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Paul Deridder was last updated on October 5, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.