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

Dr. Nicolaas Piet Deruyter, MD

Individual provider Ophthalmology Physician · NPI 1972000602

Dr. Nicolaas Piet Deruyter, MD is an Ophthalmology in Bellevue, Washington. Graduated from University of Washington School of Medicine in 2018, 8 years ago. Practices with Pacific Northwest Retina PLLC, a 19-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Washington.

Years since qualifying
8
Trained at
University of Washington School of Medicine
Licensed in
WA
In the registry since
2018
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

1750 112th Ave NE Ste D050
Bellevue, WA 98004-3779
Phone: (206) 215-3850
Fax: (206) 215-3870
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1229 Madison St Ste 620, Seattle, WA 98104-3304 — (206) 215-3850

Specialties & licences

Ophthalmology Physician (primary) Taxonomy 207W00000X · Licence MD61507714 (WA)

Record details

NPI number1972000602
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 9, 2018
Last updated in NPPESFebruary 3, 2026
Certification dateFebruary 3, 2026

Medicare enrollment

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

Medicare specialtyOPHTHALMOLOGY
Medical schoolUNIVERSITY OF WASHINGTON SCHOOL OF MEDICINE
Graduated 2018 (8 years in practice)
Group practice Pacific Northwest Retina Pllc — 19 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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