DERICK FONGU CHE DO
NPI 1932952710
Student in an Organized Health Care Education/Training Program in Fort Smith, AR

Active since April 10, 2024PECOS Enrolled
612 S 12TH ST, FORT SMITH, AR 72901(479) 785-0732 Get Directions Write a Review

NPPES record last updated: April 10, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Derick Fongu Che Do NPPES

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

DERICK FONGU CHE DO (NPI 1932952710) is an individual student in an organized health care education/training program in Fort Smith, Arkansas and active in the NPI registry since April 2024. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1932952710
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameDERICK FONGU CHECredential: DO
Location Address612 S 12TH STFort Smith, AR 72901-4702
Mailing Address612 S 12th StFort Smith, AR 72901-4702 · (479) 785-0732
Sole ProprietorNo
Enumeration DateApril 10, 2024
NPPES CertifiedApril 10, 2024
NPI 1932952710 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

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.
612 S 12TH ST, Fort Smith, AR 72901

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Derick Fongu Che Do 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.

Family Medicine
612 S 12TH ST
FORT SMITH, AR 72901
Student in an Organized Health Care Education/Training Program
612 S 12TH ST
FORT SMITH, AR 72901
Student in an Organized Health Care Education/Training Program
612 S 12TH ST
FORT SMITH, AR 72901
Family Medicine
612 S 12TH ST
FORT SMITH, AR 72901
Nurse Practitioner
612 S 12TH ST
FORT SMITH, AR 72901
Family Medicine
612 S 12TH ST
FORT SMITH, AR 72901
Counselor (Mental Health)
612 S 12TH ST
FORT SMITH, AR 72901
Family Medicine
612 S 12TH ST
FORT SMITH, AR 72901

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 Derick Che's NPI number?

The NPI number for Derick Che is 1932952710. It was assigned to this individual provider in the NPPES registry on April 10, 2024.

Where is Derick Che located?

Derick Che practices at 612 S 12th St, Fort Smith, AR 72901. The listed phone number is (479) 785-0732.

What is Derick Che's specialty?

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

Is Derick Che enrolled in Medicare?

Yes. Derick Che is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Derick Che was last updated on April 10, 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.