BRAD DEROMA
NPI 1902579998
Counselor - Addiction (Substance Use Disorder) in Phoenix, AZ

Q: What is Brad Deroma's NPI number?

The NPI number for Brad Deroma is 1902579998. It was assigned to this individual provider in the NPPES registry on July 27, 2021.

Q: What is Brad Deroma's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

Q: When was this NPI record last updated?

The NPPES record for Brad Deroma was last updated on October 23, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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 July 27, 2021PECOS EnrolledAccepts Medicare Assignment

15815 S LAKEWOOD PKWY W APT 2016, PHOENIX, AZ 85048(760) 613-6861 Get Directions Write a Review

NPPES record last updated: October 23, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

On this page

About Brad Deroma NPPES

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

BRAD DEROMA (NPI 1902579998) is an individual addiction (substance use disorder) provider in Phoenix, Arizona, licensed in Arizona (LIAC-155343) and active in the NPI registry since July 2021. He is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1902579998

Entity TypeIndividualMale

Primary Taxonomy101YA0400X

Provider Legal NameBRAD DEROMA

Location Address15815 S LAKEWOOD PKWY W APT 2016Phoenix, AZ 85048-7291

Mailing Address15815 S Lakewood Pkwy W Apt 2119Phoenix, AZ 85048-7294 · (760) 613-6861

Phone(760) 613-6861

Sole ProprietorNo

Medical School CMSOtherGraduated 2021

Enumeration DateJuly 27, 2021

Last NPPES UpdateOctober 23, 2024

NPPES CertifiedOctober 23, 2024

✔ NPI 1902579998 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers

Taxonomy Code101YA0400X

License✔ Licensed in AZ · LIAC-155343

15815 S LAKEWOOD PKWY W APT 2016, Phoenix, AZ 85048

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of Arizona, Cigna HealthCare of Arizona, Inc, Oscar Health Plan, Inc. and more.Insurance ›

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

Brad Deroma 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 ID8729542121

PECOS Enrollment IDI20260715004003

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 Brad Deroma reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Scottsdale Recovery II, LLC

19 mi

Substance Abuse Rehabilitation Facility

8149 N 87TH PL
Scottsdale, AZ 85258

Reassigned Medicare billing, Arizona enrollment
7 clinicians in this Medicare group

NPI 1558824730 (480) 699-9044

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

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 Brad Deroma's NPI number?

The NPI number for Brad Deroma is 1902579998. It was assigned to this individual provider in the NPPES registry on July 27, 2021.

Where is Brad Deroma located?

Brad Deroma practices at 15815 S Lakewood Pkwy W Apt 2016, Phoenix, AZ 85048. The listed phone number is (760) 613-6861.

What is Brad Deroma's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

Is Brad Deroma enrolled in Medicare?

Yes. Brad Deroma 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 Brad Deroma's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Brad Deroma reassigns Medicare benefits to Scottsdale Recovery II, LLC (Scottsdale, AZ). 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 Brad Deroma's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Brad Deroma accept?

Health plans from Blue Cross Blue Shield of Arizona, Cigna HealthCare of Arizona, Inc, Oscar Health Plan, Inc. and UnitedHealthcare list Brad Deroma as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Brad Deroma was last updated on October 23, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.