Alta Deroo, MD
NPI 1184791725 · Addiction Medicine (Preventive Medicine) Physician · Kalamazoo, MI
Enrolled with Medicare as Practitioner - Obstetrics/Gynecology · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Alta Deroo, MD is a Addiction Medicine (Preventive Medicine) Physician provider in Kalamazoo, MI (NPI 1184791725).
Provider details
- NPI number
- 1184791725
- Entity type
- Individual
- Primary specialty
- Addiction Medicine (Preventive Medicine) PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- License
- 71806 (MN)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 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
Mailing address
Registry dates
- Enumerated
- 2006-11-29
- Last updated
- 2024-10-18
- Certified
- 2024-10-18
Frequently asked questions
- What is Alta Deroo's NPI number?
- Alta Deroo's National Provider Identifier (NPI) is 1184791725, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Alta Deroo's specialty?
- Alta Deroo is listed in the NPPES registry with a primary specialty of Addiction Medicine (Preventive Medicine) Physician (Allopathic & Osteopathic Physicians).
- Where is Alta Deroo located?
- Alta Deroo's practice location on file with NPPES is 1521 Gull Rd, Kalamazoo, MI 49048-1640.
- What is Alta Deroo's phone number?
- The practice phone number listed in the NPPES registry for Alta Deroo is (269) 226-5927.
- Does Alta Deroo accept Medicare?
- Alta Deroo is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Alta Deroo's NPI active?
- Yes — Alta Deroo's NPI (1184791725) is active in the NPPES registry as of the last update on 2024-10-18.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.