MICHAEL FRANCIS DEROSA MD
NPI 1891481578
Student in an Organized Health Care Education/Training Program in Canton, OH

Q: What is Michael Derosa's NPI number?

The NPI number for Michael Derosa is 1891481578. It was assigned to this individual provider in the NPPES registry on April 14, 2023.

Q: What is Michael Derosa's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Q: When was this NPI record last updated?

The NPPES record for Michael Derosa was last updated on April 14, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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 April 14, 2023PECOS Enrolled

2600 SIXTH ST SW, CANTON, OH 44710(330) 363-4922(330) 363-4914 Get Directions Write a Review

NPPES record last updated: April 14, 2023. Verified against the NPPES registry weekly; last sync: September 13, 2026.

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About Michael Francis Derosa Md NPPES

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

MICHAEL FRANCIS DEROSA MD (NPI 1891481578) is an individual student in an organized health care education/training program in Canton, Ohio and active in the NPI registry since April 2023. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1891481578

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NameMICHAEL FRANCIS DEROSACredential: MD

Location Address2600 SIXTH ST SWCanton, OH 44710-1702

Mailing Address2600 Sixth St SwCanton, OH 44710-1702 · (330) 363-4922 · Fax (330) 363-4914

Phone(330) 363-4922

Fax(330) 363-4914

Sole ProprietorYes

Enumeration DateApril 14, 2023

NPPES CertifiedApril 14, 2023

✔ NPI 1891481578 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

2600 SIXTH ST SW, Canton, OH 44710

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Michael Francis Derosa 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.

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.

CHELSEA FLIGHT CNP

Nurse Practitioner