CHARLES L DERUS (NPI# 1316963689) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316963689 |
| Entity Type | Individual |
| Full Name | CHARLES L DERUS |
| Credential | MD |
| Practice Address |
1870 W Galena Blvd Aurora IL 60506-4356 |
| Practice Telephone | 6308596700 |
| Mailing Telephone | 6308596700 |
| Enumeration Date | 2006-07-13 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RR0500X |
Internal Medicine Specialization: Rheumatology |
IL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| INDIVIDUAL MEDICARE # | P00928 | 01 |
| Street Address |
1870 W GALENA BLVD |
| City | AURORA |
| State | IL |
| Zip Code | 60506-4356 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689661803 | Rosalyn S Padiyara | Pharmacist | 1870 W Galena Blvd, Aurora, IL 60506-4356 | 2005-10-03 |
| 1245636232 | Mary Sunde | Specialist/Technologist | 1870 W Galena Blvd, Physical Therapy, Aurora, IL 60506-4356 | 2014-11-18 |
| 1376787838 | Christopher A Lading | Speech-Language Pathologist | 1870 W Galena Blvd, Aurora, IL 60506-4356 | 2009-04-28 |
| 1306090303 | Cynthia D. Hildner | Speech-Language Pathologist | 1870 W Galena Blvd, Aurora, IL 60506-4356 | 2008-11-05 |
| 1841449451 | Padmaja Gutti | Psychiatry & Neurology | 1870 W Galena Blvd, Aurora, IL 60506-4356 | 2008-09-18 |
| 1922268812 | Betsy J Bennet | Internal Medicine | 1870 W Galena Blvd, Aurora, IL 60506-4356 | 2008-06-13 |
| 1659558203 | Saba Sharif | Allergy & Immunology | 1870 W Galena Blvd, Aurora, IL 60506-4356 | 2008-01-25 |
| 1518141365 | Michael James Radtke | Allergy & Immunology | 1870 W Galena Blvd, Aurora, IL 60506-4356 | 2007-12-27 |
| 1083897888 | Vivien T Ho | Family Medicine | 1870 W Galena Blvd, Aurora, IL 60506-4356 | 2007-12-14 |
| 1245422773 | Kara N Roman | Physician Assistant | 1870 W Galena Blvd, Aurora, IL 60506-4356 | 2007-08-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225678121 | Yvette Velazquez | Non-emergency Medical Transport (VAN) | 1743 Plum St, Aurora, IL 60506 | 2020-01-09 |
| 1609420173 | Salma Hydari | Dentist | 1264 N Lake St., Aurora, IL 60506 | 2019-08-01 |
| 1720647092 | Tirumala Aggarwal | Dentist | Premier Dental, 1264 N Lake Street, Aurora, IL 60506 | 2019-06-11 |
| 1730644410 | Margaret Elizabeth Beallis | Counselor | 120 Gale St., Aurora, IL 60506 | 2019-02-06 |
| 1639634322 | Jordan Devera | Student in an Organized Health Care Education/Training Program | Aurora University 347 S Gladstone Ave, Pmb 729, Aurora, IL 60506 | 2019-02-06 |
| 1770077737 | Harriet L Miller | Registered Nurse | 1081 Emerald Dr, Aurora, IL 60506 | 2018-06-21 |
| 1275033516 | Lillian Antonia Villamil | Registered Nurse | 400 Mercy Lane, Aurora, IL 60506 | 2018-02-13 |
| 1689173676 | Ideal Medical Equipment and Supplies | Durable Medical Equipment & Medical Supplies | 1177 N Highland Ave Ste#204, Aurora, IL 60506 | 2018-02-06 |
| 1417465535 | Aaron Downing | Counselor | 525 N. Edgelawn Ave, Aurora, IL 60506 | 2018-01-11 |
| 1942739222 | Jessica Toma | Pharmacist | 1952 W Galena Blvd, Aurora, IL 60506 | 2017-06-08 |
| Find all providers in zip 60506 | ||||
| Taxonomy Code | 207RR0500X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Rheumatology |
| An internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and "collagen" diseases. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811370802 | Rouhin Sen | Internal Medicine | University of Colorado Anschutz Medical Campus, 1775 Aurora Court, Aurora, CO 80045 | 2015-07-08 |
| 1851786305 | Pooja Patel | Internal Medicine | 2285 Sequoia Dr, Aurora, IL 60506-6209 | 2015-04-01 |
| 1336568328 | Isaac Thomas West Harley | Internal Medicine | 1775 Aurora Ct, Aurora, CO 80045-2536 | 2014-04-07 |
| 1457776031 | Kyle Maier | Internal Medicine | 13001 E 17th Pl, University of Colorado Medical School Gme, Aurora, CO 80045-2570 | 2014-02-19 |
| 1245674142 | Melissa Reidy Griffith | Internal Medicine | 12605 E 16th Ave, Aurora, CO 80045-2545 | 2013-04-22 |
| 1487791752 | Jason Kolfenbach | Internal Medicine | 12605 E 16th Ave, Aurora, CO 80045-2545 | 2007-01-30 |
| 1639269210 | Kevin Deane | Internal Medicine | 12605 E 16th Ave, Aurora, CO 80045-2545 | 2006-10-13 |
| 1073603759 | Sterling West | Internal Medicine | 12605 E 16th Ave, Aurora, CO 80045-2545 | 2006-10-13 |
| 1245320928 | V Holers | Internal Medicine | 12605 E 16th Ave, Aurora, CO 80045-2545 | 2006-10-13 |
| 1508956285 | Christopher Striebich | Internal Medicine | 12605 E 16th Ave, Aurora, CO 80045-2545 | 2006-10-13 |
| Find all providers in AURORA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.