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

Jerome D. Derdel, MD

Individual provider Radiation Oncology Physician · NPI 1104812601

Jerome D. Derdel, MD is a Radiation Oncology in State College, Pennsylvania. Qualified in 1978, 48 years ago. Practices with Mount Nittany Medical Center Health Services Inc, a 367-clinician group and accepts Medicare assignment. Licensed in Pennsylvania.

Years since qualifying
48
Licensed in
PA
In the registry since
2005
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

1800 E Park Ave
State College, PA 16803-6709
Phone: (814) 234-6726
Fax: (814) 234-1553
Show map & directions

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

Specialties & licences

Therapeutic Radiology Physician (primary) Taxonomy 2085R0203X · Licence MD038685L (PA)
Radiation Oncology Physician Taxonomy 2085R0001X · Licence MD038685L (PA)

Record details

NPI number1104812601
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedSeptember 21, 2005
Last updated in NPPESJune 21, 2023
Certification dateJune 21, 2023
Mailing address100 N Academy Ave, Danville, PA 17822-4903

Medicare enrollment

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

Medicare specialtyRADIATION ONCOLOGY
Medical schoolOTHER
Graduated 1978 (48 years in practice)
Group practice Mount Nittany Medical Center Health Services Inc — 367 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations8 on file with Medicare

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