GARY A. DEROSA M.D. – NPI #1770583205
Family Medicine

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

GARY DEROSA is a physician located in FORT BELVOIR, VA. NPPES has assigned the NPI number 1770583205 to GARY DEROSA on July 27, 2005. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 207Q00000X from the Health Care Provider Taxonomy code set, which is classified as Family Medicine.

The NPI profile was last updated on Aug 27, 2024. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for GARY DEROSA below.

NPI Profile for
GARY A. DEROSA

NPI Number
1770583205
Enumeration Date

(about 21 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
GARY A. DEROSA
Credentials
M.D.
Primary location
A. T. AUGUSTA MILITARY MEDICAL CENTER
9300 DEWITT LOOP
FORT BELVOIR, VA 22060
Phone: (571) 231-4012 Fax:
Mailing address
12735 GOLD CUP TRL
MANASSAS, VA 20112-3684
Phone: (703) 599-1274 Fax:
Sole Proprietor
No
Updated
Certification Date
Aug 23, 2024

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for GARY DEROSA

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
medicaidVA5617537
medicaidVA1770583205
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207Q00000X
- Family Medicine (Primary)
VA 0101032730

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.

Endpoint

Health Information Exchange (HEI)

HEI is the mobilization of health care information electronically across organizations within a region, community or hospital system. Endpoints provide a simple and secure way for participants to send authenticated, encrypted health information directly to known, trusted recipients over the internet such as primary care physicians, specialists, hospitals, labs, etc.

Endpoint
[email protected]
Endpoint type
Direct Messaging Address
Endpoint Description
Content Type
Affiliation
N
Endpoint Location
8640 SUDLEY RD,
MANASSAS, VA 77025-1669