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

Dr. Derrick Lamar Reedus Sr., MD

Individual provider Urology Physician · NPI 1194929463

Dr. Derrick Lamar Reedus Sr., MD is an Urology in Newark, Ohio. Graduated from Northeastern Ohio University College of Medicine in 2002, 24 years ago. Practices with Kettering Independent Medical Group Inc, a 700-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Ohio.

Years since qualifying
24
Trained at
Northeastern Ohio University College of Medicine
Licensed in
OH
In the registry since
2007
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

1980 Tamarack Rd
Newark, OH 43055-1363
Phone: (220) 564-7520
Fax: (220) 564-7521
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 4000 Miamisburg Centerville Rd Ste 450, Miamisburg, OH 45342-3908 — (937) 560-2011

Specialties & licences

Urology Physician (primary) Taxonomy 208800000X · Licence 35.090640 (OH)

Record details

NPI number1194929463
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedJune 12, 2007
Last updated in NPPESJanuary 25, 2024
Certification dateJanuary 25, 2024

Medicare enrollment

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

Medicare specialtyUROLOGY
Medical schoolNORTHEASTERN OHIO UNIVERSITY COLLEGE OF MEDICINE
Graduated 2002 (24 years in practice)
Group practice Kettering Independent Medical Group Inc — 700 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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