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

Dr. Peter Kirk Derussy, MD

Individual provider Internal Medicine Physician · NPI 1649251174

Dr. Peter Kirk Derussy, MD is an Internal Medicine in Miamisburg, Ohio. Graduated from University of South Florida College of Medicine in 1997, 29 years ago. Practices with Alliance Physicians Inc, a 314-clinician group and accepts Medicare assignment. Licensed in Ohio.

Years since qualifying
29
Trained at
University of South Florida College of Medicine
Licensed in
OH
In the registry since
2005
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

2115 Leiter Rd
Miamisburg, OH 45342-3659
Phone: (937) 384-6800
Fax: (937) 384-6939
Show map & directions

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

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 35 076115 (OH)

Record details

NPI number1649251174
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedNovember 10, 2005
Last updated in NPPESFebruary 1, 2021
Certification dateFebruary 1, 2021

Medicare enrollment

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

Medicare specialtyINTERNAL MEDICINE
Medical schoolUNIVERSITY OF SOUTH FLORIDA COLLEGE OF MEDICINE
Graduated 1997 (29 years in practice)
Group practice Alliance Physicians Inc — 314 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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