Alexandre Derevianko
NPI 1679987879 · Surgical Assistant · Great Lakes, IL
Alexandre Derevianko is a Surgical Assistant provider in Great Lakes, IL (NPI 1679987879).
Provider details
- NPI number
- 1679987879
- Entity type
- Individual
- Primary specialty
- Surgical AssistantTechnologists, Technicians & Other Technical Service Providers
- Sex
- Male
- Sole proprietor
- No
- License
- 238000408 (IL)
Specialties & taxonomies
Technologists, Technicians & Other Technical Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
12 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
- 2014-06-16
- Last updated
- 2014-06-19
Frequently asked questions
- What is Alexandre Derevianko's NPI number?
- Alexandre Derevianko's National Provider Identifier (NPI) is 1679987879, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Alexandre Derevianko's specialty?
- Alexandre Derevianko is listed in the NPPES registry with a primary specialty of Surgical Assistant (Technologists, Technicians & Other Technical Service Providers).
- Where is Alexandre Derevianko located?
- Alexandre Derevianko's practice location on file with NPPES is 1811 Arkansas Ave, Great Lakes, IL 60088-4244.
- What is Alexandre Derevianko's phone number?
- The practice phone number listed in the NPPES registry for Alexandre Derevianko is (401) 480-9807.
- Is Alexandre Derevianko's NPI active?
- Yes — Alexandre Derevianko's NPI (1679987879) is active in the NPPES registry as of the last update on 2014-06-19.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.