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

David T Deroos, DO

Individual provider Family Medicine Physician · NPI 1043773658

David T Deroos, DO is a Family Practice in Johnson City, Tennessee. Graduated from Edward via Col of Osteo Medicine-Carolinas Campus in 2019, 7 years ago. Practices with Duke University Affiliated Physicians, Inc, a 449-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Tennessee.

Years since qualifying
7
Trained at
Edward via Col of Osteo Medicine-Carolinas Campus
Licensed in
TN
In the registry since
2019
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

205 Summer Rose Ln
Johnson City, TN 37601-5356
Phone: (704) 658-8727
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 4949 (TN)

Record details

NPI number1043773658
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedApril 10, 2019
Last updated in NPPESJuly 3, 2024
Certification dateJuly 3, 2024
Mailing address205 Summer Rose Ln, Johnson City, TN 37601-5356

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolEDWARD VIA COL OF OSTEO MEDICINE-CAROLINAS CAMPUS
Graduated 2019 (7 years in practice)
Group practice Duke University Affiliated Physicians, Inc. — 449 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Johnson City