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

Individual provider Internal Medicine Physician · NPI 1760793897

Dr. Wondwossen Yilma Dererie, MD is a Hospitalist in Suffolk, Virginia. Qualified in 2003, 23 years ago. Practices with Licking Memorial Professional Corporation, a 235-clinician group and accepts Medicare assignment. Licensed in Ohio and Virginia.

Years since qualifying
23
Licensed in
OH, VA
In the registry since
2010
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

2800 Godwin Blvd
Suffolk, VA 23434-8038
Phone: (757) 934-4000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 0101254930 (VA)
Internal Medicine Physician Taxonomy 207R00000X · Licence 35.130138 (OH)

Record details

NPI number1760793897
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedJune 23, 2010
Last updated in NPPESOctober 4, 2021
Certification dateOctober 4, 2021

Medicare enrollment

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

Medicare specialtyHOSPITALIST
Also practisesINTERNAL MEDICINE
Medical schoolOTHER
Graduated 2003 (23 years in practice)
Group practice Licking Memorial Professional Corporation — 235 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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