R Derosa Surgery LLC
NPI 1871209494 · Surgery Physician · Glendale, AZ
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
R Derosa Surgery LLC is a Surgery Physician organization in Glendale, AZ (NPI 1871209494).
Provider details
- NPI number
- 1871209494
- Entity type
- Organization
- Primary specialty
- Surgery PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Richard Derosa, Owner(703) 975-9847
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
3 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
- 2023-01-26
- Last updated
- 2023-01-26
- Certified
- 2023-01-26
Frequently asked questions
- What is R Derosa Surgery LLC's NPI number?
- R Derosa Surgery LLC's National Provider Identifier (NPI) is 1871209494, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is R Derosa Surgery LLC?
- R Derosa Surgery LLC is classified in the NPPES registry as Surgery Physician (Allopathic & Osteopathic Physicians).
- Where is R Derosa Surgery LLC located?
- R Derosa Surgery LLC's practice location on file with NPPES is 18701 N 67th Ave, Glendale, AZ 85308-7100.
- What is R Derosa Surgery LLC's phone number?
- The practice phone number listed in the NPPES registry for R Derosa Surgery LLC is (623) 561-1000.
- Does R Derosa Surgery LLC accept Medicare?
- R Derosa Surgery LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for R Derosa Surgery LLC?
- The authorized official listed on R Derosa Surgery LLC's NPPES record is Richard Derosa, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is R Derosa Surgery LLC's NPI active?
- Yes — R Derosa Surgery LLC's NPI (1871209494) is active in the NPPES registry as of the last update on 2023-01-26.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.