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

Derek Susalla

Individual provider Physician Assistant · NPI 1508392796

Derek Susalla is a Physician Assistant in Rochester Hills, Michigan. Graduated from Wayne State University School of Medicine in 2017, 9 years ago. Practices with Joel L Young MD PC, a 59-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Michigan.

Years since qualifying
9
Trained at
Wayne State University School of Medicine
Licensed in
MI
In the registry since
2017
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Practice location Address checks out

441 S Livernois Rd
Rochester Hills, MI 48307-2584
Phone: (248) 608-8800
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 5601008192 (MI)

Record details

NPI number1508392796
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedMay 7, 2017
Last updated in NPPESMay 7, 2017

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolWAYNE STATE UNIVERSITY SCHOOL OF MEDICINE
Graduated 2017 (9 years in practice)
Group practice Joel L Young Md Pc — 59 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

Other providers in Rochester Hills