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

Dr. Patrick Derby, DPM

Individual provider Primary Podiatric Medicine Podiatrist · NPI 1073075222

Dr. Patrick Derby, DPM is a Podiatry in Tampa, Florida. Graduated from California School of Podiatric Medicine in 2019, 7 years ago. Practices with All Podiatry Group Inc, a 43-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
7
Trained at
California School of Podiatric Medicine
Licensed in
FL
In the registry since
2019
Specialties on file
5
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

4700 N Habana Ave Ste 400
Tampa, FL 33614-7119
Phone: (813) 499-0774
Show map & directions

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

Additional practice locations (1)

  • 560 Jackson St N Ste 120, St Petersburg, FL 33705-1449 — (727) 800-3387

Specialties & licences

Podiatrist (primary) Taxonomy 213E00000X · Licence PO4422 (FL)
Primary Podiatric Medicine Podiatrist Taxonomy 213EP1101X · Licence PO4422 (FL)
Sports Medicine Podiatrist Taxonomy 213ES0000X · Licence PO4422 (FL)
Foot & Ankle Surgery Podiatrist Taxonomy 213ES0103X · Licence PO4422 (FL)
Foot Surgery Podiatrist Taxonomy 213ES0131X · Licence PO4422 (FL)

Record details

NPI number1073075222
Entity typeIndividual (Type 1)
GenderMale
Credentials DPM
Sole proprietorNo
NPI enumeratedApril 4, 2019
Last updated in NPPESMarch 10, 2025
Certification dateMarch 10, 2025
Mailing address15815 Shaddock Dr Ste 130, Winter Garden, FL 34787-5773

Medicare enrollment

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

Medicare specialtyPODIATRY
Medical schoolCALIFORNIA SCHOOL OF PODIATRIC MEDICINE
Graduated 2019 (7 years in practice)
Group practice All Podiatry Group Inc. — 43 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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