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

Individual provider Family Medicine Physician · NPI 1033598339

Dominic Derenge, DO is a Family Practice in Philadelphia, Pennsylvania. Qualified in 2015, 11 years ago. Practices with Esperanza Health Center, Inc, a 32-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Pennsylvania.

Years since qualifying
11
Licensed in
PA
In the registry since
2015
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

4417 N 6th St
Philadelphia, PA 19140-2319
Phone: (215) 302-6000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1260 E Woodland Ave, Springfield, PA 19064-3969 — (610) 690-4490

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence OS019248 (PA)

Record details

NPI number1033598339
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedMay 20, 2015
Last updated in NPPESOctober 10, 2018

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice Esperanza Health Center, Inc. — 32 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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