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

Dr. Micah Jon Derby, DO

Individual provider Internal Medicine Physician · NPI 1548605199

Dr. Micah Jon Derby, DO is an Internal Medicine in Tulsa, Oklahoma. Qualified in 2013, 13 years ago. Practices with Warren Clinic Inc, a 772-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Oklahoma.

Years since qualifying
13
Licensed in
OK
In the registry since
2013
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

6600 S Yale Ave Ste 650
Tulsa, OK 74136-3342
Phone: (918) 502-7800
Fax: (918) 502-7815
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 5550 (OK)

Record details

NPI number1548605199
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorYes
NPI enumeratedMay 8, 2013
Last updated in NPPESOctober 15, 2024
Certification dateOctober 15, 2024
Mailing address6600 S Yale Ave Ste 1200, Tulsa, OK 74136-3333

Medicare enrollment

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

Medicare specialtyINTERNAL MEDICINE
Medical schoolOTHER
Graduated 2013 (13 years in practice)
Group practice Warren Clinic Inc — 772 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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