Gregory Derderian, D.O.
NPI 1457355737 · Vascular Surgery Physician · Birmingham, MI
Enrolled with Medicare as Practitioner - Vascular Surgery · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Gregory Derderian, D.O. is a Vascular Surgery Physician provider in Birmingham, MI (NPI 1457355737).
Provider details
- NPI number
- 1457355737
- Entity type
- Individual
- Primary specialty
- Vascular Surgery PhysicianAllopathic & Osteopathic Physicians
- Credential
- D.O.
- Sex
- Male
- Sole proprietor
- No
- License
- 5101007182 (MI)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
21 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
- 2005-06-02
- Last updated
- 2012-09-18
Frequently asked questions
- What is Gregory Derderian's NPI number?
- Gregory Derderian's National Provider Identifier (NPI) is 1457355737, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Gregory Derderian's specialty?
- Gregory Derderian is listed in the NPPES registry with a primary specialty of Vascular Surgery Physician (Allopathic & Osteopathic Physicians).
- Where is Gregory Derderian located?
- Gregory Derderian's practice location on file with NPPES is 538 N Old Woodward Ave, Birmingham, MI 48009-5375.
- What is Gregory Derderian's phone number?
- The practice phone number listed in the NPPES registry for Gregory Derderian is (248) 594-3091.
- Does Gregory Derderian accept Medicare?
- Gregory Derderian is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Gregory Derderian's NPI active?
- Yes — Gregory Derderian's NPI (1457355737) is active in the NPPES registry as of the last update on 2012-09-18.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.