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Physician Profile

Keith J. Derickson, MD

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At a glance

About Dr. Derickson

Keith J. Derickson, MD practices family medicine in Fort Wayne, IN. Keith is a 2010 graduate of Indiana University School of Medicine. Medicare claims data shows Keith provided 1,042 services to 692 patients. The services billed most often include established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more, visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient', and established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more. The provider's National Provider Identifier (NPI) is 1538480439.

Factual summary compiled by Guide.md from public records; not written by this provider.

Education & Training

Specialty

Family Medicine (Primary)

Credentials & Licensing

IN licenceAs reported to the NPI registry
No. 01070470AAs reported
NPINational Provider Identifier
1538480439Issued 2010

As reported to the NPI registry ↗

Medicare information

Accepts Medicare assignmentYes
Telehealth reported to CMSYes
Medicare opt-outNo
Can order and refer in MedicareYes

Exactly as CMS reports it (National Downloadable File, Opt-Out Affidavits, Order & Referring). Not an insurance directory; confirm coverage with the office.

Common questions

What is Dr. Derickson's specialty?

Dr. Derickson is a family doctor in Fort Wayne, IN. That is the designation recorded for this NPI in the federal registry, where it is listed as “Family Medicine”.

NPI registry

Where can I find Dr. Derickson?

Dr. Derickson is listed at 6404 Rothman Rd, Fort Wayne, IN 46835. Addresses come from the NPI registry and can lag a move, so confirm before travelling.

NPI registry

How do I contact Dr. Derickson?

The number on file is (260) 486-6197. Contact the office directly to confirm availability and scheduling.

NPI registry

What is the NPI for Dr. Derickson?

Dr. Derickson's National Provider Identifier is 1538480439. It is issued by the Centers for Medicare & Medicaid Services and is unique and permanent — it does not change if they move practice.

NPI registry

What is Dr. Derickson's medical education?

Dr. Derickson attended Indiana University School of Medicine, graduating in 2010. This comes from the CMS National Downloadable File.

CMS public data

How much experience does Dr. Derickson have?

Dr. Derickson has 16 years experience. Calculated from a graduation year of 2010, reported in the CMS National Downloadable File.

CMS public data

What is Dr. Derickson known for?

According to Medicare billing data, Dr. Derickson provides treatments such as influenza vaccine split virus, preservative free, alongside routine visits and testing. This reflects Medicare patients only and is billing volume, not a measure of quality.

Medicare claims

Is Dr. Derickson's profile verified?

Not yet. This profile is built from public federal data and has not been confirmed by Dr. Derickson. If this is you, claiming it is free.

Guide.md

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