MARTIN A DERUSHA DO
NPI 1922046507
Emergency Medicine in Fort Worth, TX

Active since June 03, 2006
1506 PENNSYLVANIA AVE, FORT WORTH, TX 76104(817) 882-0984(817) 882-9978 Get Directions Write a Review

NPPES record last updated: March 7, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Martin A Derusha Do NPPES

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

MARTIN A DERUSHA DO (NPI 1922046507) is an individual emergency medicine provider in Fort Worth, Texas, licensed in Texas (K0454) and active in the NPI registry since June 2006.

NPPES Registry Identity

NPI1922046507
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameMARTIN A DERUSHACredential: DO
Location Address1506 PENNSYLVANIA AVEFort Worth, TX 76104-2027
Mailing Address1506 Pennsylvania AveFort Worth, TX 76104-2027 · (817) 882-0984 · Fax (817) 882-9978
Fax(817) 882-9978
Sole ProprietorYes
Enumeration DateJune 3, 2006
Last NPPES UpdateMarch 7, 2023
NPI 1922046507 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License Licensed in TX · K0454
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
1506 PENNSYLVANIA AVE, Fort Worth, TX 76104

Other Identifiers 1

OtherH0101698TX · Dps

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Counselor (Mental Health)
1506 PENNSYLVANIA AVE
FORT WORTH, TX 76104
Social Worker (Clinical)
1506 PENNSYLVANIA AVE
FORT WORTH, TX 76104

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 Martin Derusha's NPI number?

The NPI number for Martin Derusha is 1922046507. It was assigned to this individual provider in the NPPES registry on June 3, 2006.

Where is Martin Derusha located?

Martin Derusha practices at 1506 Pennsylvania Ave, Fort Worth, TX 76104. The listed phone number is (817) 882-0984.

What is Martin Derusha's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

When was this NPI record last updated?

The NPPES record for Martin Derusha was last updated on March 7, 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.