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

Dr. Kevin Matthew Derickson, DPM

Individual provider Primary Podiatric Medicine Podiatrist · NPI 1396748497

Dr. Kevin Matthew Derickson, DPM is a Podiatry in Denver, Colorado. Qualified in 1997, 29 years ago. Practices with Cc Foot Clinic PC, a 3-clinician group and accepts Medicare assignment. Licensed in Colorado.

Years since qualifying
29
Licensed in
CO
In the registry since
2005
Specialties on file
2
What do these letters mean?
DPM — Doctor of Podiatric Medicine
A foot and ankle physician and surgeon.

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Practice location Address checks out

2121 S Oneida St Ste 270
Denver, CO 80224-2551
Phone: (303) 355-1695
Fax: (303) 355-1834
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Foot & Ankle Surgery Podiatrist (primary) Taxonomy 213ES0103X · Licence POD.0000548 (CO)
Primary Podiatric Medicine Podiatrist Taxonomy 213EP1101X · Licence POD.0000548 (CO)

Record details

NPI number1396748497
Entity typeIndividual (Type 1)
GenderMale
Credentials DPM
Sole proprietorNo
NPI enumeratedMay 23, 2005
Last updated in NPPESFebruary 20, 2026
Certification dateFebruary 20, 2026

Medicare enrollment

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

Medicare specialtyPODIATRY
Medical schoolOTHER
Graduated 1997 (29 years in practice)
Group practice Cc Foot Clinic Pc — 3 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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