Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Courtney Kowalczyk Derderian, MD

Individual provider Pediatric Anesthesiology Physician · NPI 1699978346

Courtney Kowalczyk Derderian, MD is an Anesthesiology in Dallas, Texas. Graduated from University of Virginia School of Medicine in 2007, 19 years ago. Practices with Dallas Physician Medical Services for Children Inc, a 85-clinician group and accepts Medicare assignment. Licensed in Texas.

Years since qualifying
19
Trained at
University of Virginia School of Medicine
Licensed in
TX
In the registry since
2007
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1935 Medical District Dr Dept OF Anesthesiology
Dallas, TX 75235-7701
Phone: (214) 456-6393
Fax: (214) 456-7232
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Anesthesiology Physician (primary) Taxonomy 207L00000X · Licence P2708 (TX)
Pediatric Anesthesiology Physician Taxonomy 207LP3000X · Licence P2708 (TX)

Record details

NPI number1699978346
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 8, 2007
Last updated in NPPESNovember 25, 2015

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyANESTHESIOLOGY
Medical schoolUNIVERSITY OF VIRGINIA SCHOOL OF MEDICINE
Graduated 2007 (19 years in practice)
Group practice Dallas Physician Medical Services For Children Inc — 85 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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