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

Dr. Derec Stanislav, DO

Individual provider Orthopaedic Surgery Physician · NPI 1295220689

Dr. Derec Stanislav, DO is an Orthopedic Surgery in Fort Worth, Texas. Qualified in 2018, 8 years ago. Practices with Elite Orthopaedics of Irving PLLC, a 57-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Texas.

Years since qualifying
8
Licensed in
TX
In the registry since
2018
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

1651 W Rosedale St Ste 200
Fort Worth, TX 76104-7437
Phone: (817) 335-4316
Fax: (817) 336-2504
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1711 Martin Dr Ste 200, Weatherford, TX 76086-6738 — (682) 804-6019

Specialties & licences

Orthopaedic Surgery Physician (primary) Taxonomy 207X00000X · Licence U3658 (TX)

Record details

NPI number1295220689
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedJune 27, 2018
Last updated in NPPESJuly 22, 2026
Certification dateJuly 22, 2026
Mailing address1651 W Rosedale St Ste 200, Fort Worth, TX 76104-7437

Medicare enrollment

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

Medicare specialtyORTHOPEDIC SURGERY
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Elite Orthopaedics Of Irving Pllc — 57 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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