IndividualActive
Jack Derovanesian, MD
NPI 1073567186 · Emergency Medicine Physician · Naples, FL
Jack Derovanesian, MD is a Emergency Medicine Physician provider in Naples, FL (NPI 1073567186).
Provider details
- NPI number
- 1073567186
- Entity type
- Individual
- Primary specialty
- Emergency Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- ME26879 (FL)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
6400 Davis Blvd Ste 103
Naples, FL 34104-5321
Phone: (239) 775-2300
Street-level locationGet directions
Mailing address
Po Box 160448
Miami, FL 33116-0448
Registry dates
- Enumerated
- 2006-05-22
- Last updated
- 2008-05-12
Frequently asked questions
- What is Jack Derovanesian's NPI number?
- Jack Derovanesian's National Provider Identifier (NPI) is 1073567186, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jack Derovanesian's specialty?
- Jack Derovanesian is listed in the NPPES registry with a primary specialty of Emergency Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Jack Derovanesian located?
- Jack Derovanesian's practice location on file with NPPES is 6400 Davis Blvd Ste 103, Naples, FL 34104-5321.
- What is Jack Derovanesian's phone number?
- The practice phone number listed in the NPPES registry for Jack Derovanesian is (239) 775-2300.
- Is Jack Derovanesian's NPI active?
- Yes — Jack Derovanesian's NPI (1073567186) is active in the NPPES registry as of the last update on 2008-05-12.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.