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

Dr. Scott Alan Deruiter, MD

Individual provider Family Medicine Physician · NPI 1093777658

Dr. Scott Alan Deruiter, MD is a Family Practice in Pueblo, Colorado. Graduated from Michigan State University College of Human Medicine in 2001, 25 years ago. Practices with Southern Colorado Clinic PC, a 37-clinician group and accepts Medicare assignment. Licensed in Colorado.

Years since qualifying
25
Trained at
Michigan State University College of Human Medicine
Licensed in
CO
In the registry since
2006
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

109 S Burlington Dr
Pueblo, CO 81007-5560
Phone: (719) 553-2205
Fax: (833) 314-0183
Show map & directions

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

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 43016 (CO)

Record details

NPI number1093777658
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 6, 2006
Last updated in NPPESMarch 28, 2024
Certification dateMarch 28, 2024
Mailing addressPo Box 9000, Pueblo, CO 81008-9000

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolMICHIGAN STATE UNIVERSITY COLLEGE OF HUMAN MEDICINE
Graduated 2001 (25 years in practice)
Group practice Southern Colorado Clinic Pc — 37 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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