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

Gregory Paul Derderian, DO

Individual provider Vascular Surgery Physician · NPI 1457355737

Gregory Paul Derderian, DO is a Vascular Surgery in Birmingham, Michigan. Graduated from Kansas City College of Medicine and Surgery in 1976, 50 years ago. Accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
50
Trained at
Kansas City College of Medicine and Surgery
Licensed in
MI
In the registry since
2005
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

538 N Old Woodward Ave
Birmingham, MI 48009-5375
Phone: (248) 594-3091
Fax: (248) 594-3068
Show map & directions

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

Specialties & licences

Vascular Surgery Physician (primary) Taxonomy 2086S0129X · Licence 5101007182 (MI)

Record details

NPI number1457355737
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedJune 2, 2005
Last updated in NPPESSeptember 18, 2012
Mailing address538 N Old Woodward Ave, Birmingham, MI 48009-5375

Medicare enrollment

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

Medicare specialtyVASCULAR SURGERY
Medical schoolKANSAS CITY COLLEGE OF MEDICINE AND SURGERY
Graduated 1976 (50 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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