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David Joseph Derdiger , LAC, MSOM

Acupuncturist β€’ Highland Park, IL

Active NPI 1467874388 Individual Practitioner Male Practitioner
Practice location in NPPES

1855 Deerfield Rd Ste E
Highland Park, IL 600353750

Call 2248338033 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

1855 Deerfield Rd Ste E

Highland Park, IL 600353750

Telephone 2248338033

NPI first issued

2014

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Highland Park and Illinois

8 active clinicians are listed under Acupuncturist with a practice address in Highland Park, IL (771 in Illinois).

Addresses are self-reported to NPPES and may be out of date.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2024-11-05
Acupuncturist Primary Specialty

NUCC Taxonomy Code: 171100000X

License # reported to NPPES IL 198.001395

An acupuncturist is a person who performs ancient therapy for alleviation of pain, anesthesia and treatment of some diseases. Acupuncturists use long, fine needles inserted into specific points in order to treat painful conditions or produce anesthesia.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Illinois Department of Financial and Professional Regulation.
Look Up on State Board Site

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

15 Historical Events
πŸ“
Updated Practice Location November 05, 2024

Registered at 1855 DEERFIELD RD STE E, HIGHLAND PARK, IL 600353750 (Tel: 2248338033)

πŸ“
Updated Business Mailing Address November 05, 2024

Registered at 1855 DEERFIELD RD STE E, HIGHLAND PARK, IL 600353750 (Tel: 2248338033)

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) November 05, 2024

Acupuncturist (license number reported to NPPES: IL 198.001395)

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) March 17, 2018

Massage Therapist (license number reported to NPPES: WA MA 60420428)

βœ…
NPI Profile Active January 22, 2018

NPI status registered as active in NPPES database

πŸ“
Updated Practice Location January 22, 2018

Registered at 325 N MILWAUKEE AVE STE D, WHEELING, IL 600903071 (Tel: 8476071857)

πŸ“
Updated Business Mailing Address January 22, 2018

Registered at 247 FORESTWAY DR, DEERFIELD, IL 600154809 (Tel: 8472240068)

πŸ‘€
Provider Name / Credentials Updated January 22, 2018

Recorded as DAVID DERDIGER, L.AC., MSOM

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) January 22, 2018

Acupuncturist (license number reported to NPPES: IL 198.001395)

βœ…
NPI Profile Active January 12, 2014

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) January 12, 2014

Registered at 3639 ASHWORTH AVE N, SEATTLE, WA 981038116 (Tel: 8472240068)

πŸ“
Business Mailing Address (Initial Record) January 12, 2014

Registered at 3639 ASHWORTH AVE N, SEATTLE, WA 981038116 (Tel: 8472240068)

πŸ‘€
Provider Name / Credentials (Initial Record) January 12, 2014

Recorded as DAVID DERDIGER, L.M.P.

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) January 12, 2014

Massage Therapist (license number reported to NPPES: WA MA 60420428)

🟒
Initial NPI Registration & Enumeration January 12, 2014

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1467874388
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 12, 2014
Last Update: November 05, 2024
Sole Proprietor: Yes

Mailing Address

1855 Deerfield Rd Ste E

Highland Park, IL 600353750

Phone: 2248338033

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.