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

Dr. Michael D Dersam, MD

Individual provider Orthopaedic Surgery Physician · NPI 1477539302

Dr. Michael D Dersam, MD is an Orthopedic Surgery in Phoenix, Arizona. Graduated from University of Arizona College of Medicine in 1996, 30 years ago. Practices with Honorhealth Ambulatory, a 625-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Arizona.

Years since qualifying
30
Trained at
University of Arizona College of Medicine
Licensed in
AZ
In the registry since
2005
Specialties on file
2
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

2222 E Highland Ave Ste 425
Phoenix, AZ 85016-4881
Phone: (602) 588-4040
Fax: (602) 588-4034
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Orthopaedic Surgery Physician (primary) Taxonomy 207X00000X · Licence 30263 (AZ)
Specialist Taxonomy 174400000X · Licence 30263 (AZ)

Record details

NPI number1477539302
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedDecember 22, 2005
Last updated in NPPESJune 16, 2026
Certification dateJune 16, 2026
Mailing address2500 W Utopia Rd Ste 100, Phoenix, AZ 85027-4172

Medicare enrollment

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

Medicare specialtyORTHOPEDIC SURGERY
Medical schoolUNIVERSITY OF ARIZONA COLLEGE OF MEDICINE
Graduated 1996 (30 years in practice)
Group practice Honorhealth Ambulatory — 625 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations3 on file with Medicare

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