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

Kristin M Derderian, DO

Individual provider Infectious Disease Physician · NPI 1376624130

Kristin M Derderian, DO is an Infectious Disease in Farmington Hills, Michigan. Graduated from Michigan State University College of Osteopathic Medicine in 1997, 29 years ago. Practices with Beaumont Medical Group- Specialty Services, a 858-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
29
Trained at
Michigan State University College of Osteopathic Medicine
Licensed in
MI
In the registry since
2006
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.

See every abbreviation used in this directory →

Practice location Address checks out

28080 Grand River Ave Ste 306
Farmington Hills, MI 48336-5966
Phone: (947) 521-8314
Fax: (248) 478-8864
Show map & directions

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

Additional practice locations (1)

  • 14510 Northline Rd, Southgate, MI 48195-2402 — (734) 282-2800

Specialties & licences

Infectious Disease Physician (primary) Taxonomy 207RI0200X · Licence 5101013350 (MI)

Record details

NPI number1376624130
Entity typeIndividual (Type 1)
GenderFemale
Credentials DO
Sole proprietorNo
NPI enumeratedOctober 18, 2006
Last updated in NPPESOctober 27, 2020
Certification dateOctober 27, 2020

Medicare enrollment

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

Medicare specialtyINFECTIOUS DISEASE
Also practisesINTERNAL MEDICINE
Medical schoolMICHIGAN STATE UNIVERSITY COLLEGE OF OSTEOPATHIC MEDICINE
Graduated 1997 (29 years in practice)
Group practice Beaumont Medical Group- Specialty Services — 858 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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