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ADITYA MANJUL DERASARI M.D.
NPI 1902070725
Orthopaedic Surgery - Adult Reconstructive Orthopaedic Surgery in Miami, FL

Active since April 14, 2008PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
1611 NW 12TH AVE, MIAMI, FL 33136(305) 243-3000 Get Directions Write a Review

NPPES record last updated: December 18, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Dec 18, 2024, Mar 13, 2019, Feb 1, 2019 (3 updates tracked since 2019).

About Aditya Manjul Derasari M.d. NPPES

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

ADITYA MANJUL DERASARI M.D. (NPI 1902070725) is an individual adult reconstructive orthopaedic surgery provider in Miami, Florida, licensed in New York (276427) and active in the NPI registry since April 2008. He is enrolled in Medicare PECOS, is affiliated with New York-presbyterian/queens, and is a graduate of University Of South Florida College Of Medicine (2008).

NPPES Registry Identity

NPI1902070725
Entity TypeIndividualMale
Primary Taxonomy207XS0114X
Provider Legal NameADITYA MANJUL DERASARICredential: M.D.
Location Address1611 NW 12TH AVEMiami, FL 33136-1005
Mailing AddressPo Box 16960Miami, FL 33101-6960 · (301) 243-3000
Phone(305) 243-3000
Sole ProprietorNo
Medical School CMSUniversity Of South Florida College Of MedicineGraduated 2008
Enumeration DateApril 14, 2008
Last NPPES UpdateDecember 18, 20243 updates tracked since enumeration
NPPES CertifiedDecember 18, 2024
✔ NPI 1902070725 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOrthopaedic Surgery · Adult Reconstructive Orthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207XS0114X
License✔ Licensed in NY · 276427
Definition
Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, adult reconstructive orthopaedic surgeons deal with reconstructive procedures such as joint arthroplasty (i.e., hip and knee), osteotomy, arthroscopy, soft-tissue reconstruction, and a variety of other adult reconstructive surgical procedures.
1611 NW 12TH AVE, Miami, FL 33136
Open in Google Maps ↗

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Aditya Manjul Derasari M.d. 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.

PECOS PAC ID9133340664
PECOS Enrollment IDI20141024001500
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.

Medicare Billing Reassignment

Medicare enrollment records show Aditya Derasari reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

New York Queens Medicine And Surgery, P.C.
1,094 mi
Pediatrics
16303 HORACE HARDING EXPY, 4TH FLOOR
Fresh Meadows, NY 11365
  • Reassigned Medicare billing, New York enrollment
  • 645 clinicians in this Medicare group
NPI 1003114851 (718) 670-1019

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 12

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Injection, triamcinolone acetonide, not otherwise specified, 10 mg J3301
Triamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.
172 services30 patients
Aspiration and/or injection of fluid from large joint 20610
This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.
141 services52 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
135 services99 patients
Hyaluronan or derivative, orthovisc, for intra-articular injection, per dose J7324
Orthovisc is a treatment involving injections of a substance called hyaluronan into your joints. Hyaluronan is a natural substance in your joint fluid that aids in movement and reduces pain. The Orthovisc injections help replenish this substance, relieving joint pain.
128 services29 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
49 services49 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
35 services35 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

New York-Presbyterian/Queens

Acute Care Hospitals · Flushing, NY
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330055
Location56-45 Main StreetFlushing, NY 11355 · Queens County
Emergency services Birthing friendly

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.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality86.8
Promoting Interoperability100
Improvement Activities40

Reported Quality Measures

Risk-standardized complication rate (RSCR) following elective primary total hip arthroplasty (THA) and/or total knee arthroplasty (TKA) for Merit-based Incentive Payment System (MIPS)
Lower rates are better for this measure.
0.03%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

DR. AKUA GYANEWAH ASARE MD
Student in an Organized Health Care Education/Training Program
1611 NW 12TH AVE
MIAMI, FL 33136
Miami-Dade County (305) 355-8264
MARILUZ SANCHEZ PHARM.D.
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
1611 NW 12TH AVE, PHARMACY ADM. OFFICES/EAST TOWER BASEMENT 069
MIAMI, FL 33136
Miami-Dade County (305) 585-7309
DR. TASHA JOYTI N. D. COOKE TASHA COOKE
Student in an Organized Health Care Education/Training Program
1611 NW 12TH AVE
MIAMI, FL 33136
Miami-Dade County (305) 243-3670
DR. JUANITA ANN MARIE HUNTER M.D.
Pediatrics (Pediatric Cardiology)
1611 NW 12TH AVE
MIAMI, FL 33136
Miami-Dade County (305) 585-6042
WANDA LAVERNE MCGOWAN-BRAYNEN ARNP
Nurse Practitioner (Adult Health)
1611 NW 12TH AVE
MIAMI, FL 33136
Miami-Dade County (305) 585-1111
DR. PERTTI KALEVI HAKALA M.D.
Anesthesiology
1611 NW 12TH AVE, CENTRAL 300
MIAMI, FL 33136
Miami-Dade County (305) 585-6970
JAYLOU M VELEZ TORRES M.D.
Pathology (Anatomic Pathology)
1611 NW 12TH AVE
MIAMI, FL 33136
Miami-Dade County (305) 585-8381
ANNE-ISABELLE SOPHIA REME MD
Surgery
1611 NW 12TH AVE
MIAMI, FL 33136
Miami-Dade County (305) 585-1280

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 Aditya Derasari's NPI number?

The NPI number for Aditya Derasari is 1902070725. It was assigned to this individual provider in the NPPES registry on April 14, 2008.

Where is Aditya Derasari located?

Aditya Derasari practices at 1611 NW 12th Ave, Miami, FL 33136. The listed phone number is (305) 243-3000.

What is Aditya Derasari's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Adult Reconstructive Orthopaedic Surgery, with taxonomy code 207XS0114X.

Is Aditya Derasari enrolled in Medicare?

Yes. Aditya Derasari 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.

Which organization bills Medicare for Aditya Derasari's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Aditya Derasari reassigns Medicare benefits to New York Queens Medicine And Surgery, P.C. (Fresh Meadows, NY). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Aditya Derasari's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Aditya Derasari affiliated with any hospitals?

According to CMS data, Aditya Derasari is affiliated with New York-Presbyterian/Queens.

When was this NPI record last updated?

The NPPES record for Aditya Derasari was last updated on December 18, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 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.