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

Michael Joseph Derickson, MD

Individual provider Surgery Physician · NPI 1750707261

Michael Joseph Derickson, MD is a General Surgery in Nashville, Tennessee. Qualified in 2014, 12 years ago. Practices with Vanderbilt University Medical Center, a 3,466-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Nebraska and Tennessee.

Years since qualifying
12
Licensed in
NE, TN
In the registry since
2014
Specialties on file
4
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

3601 The Vanderbilt Clinic
Nashville, TN 37232-1000
Phone: (615) 322-3000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 9040 Fitzsimmons Dr, Joint Base Lewis McChord, WA 98431-1000 — (253) 968-0236

Specialties & licences

Trauma Surgery Physician (primary) Taxonomy 2086S0127X · Licence 63026 (TN)
Surgery Physician Taxonomy 208600000X · Licence 63026 (TN)
Surgery Physician Taxonomy 208600000X · Licence 28843 (NE)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1750707261
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 7, 2014
Last updated in NPPESJune 1, 2022
Certification dateJune 1, 2022
Mailing address3841 Green Hills Village Dr Ste 200, Nashville, TN 37215-2691

Medicare enrollment

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

Medicare specialtyGENERAL SURGERY
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice Vanderbilt University Medical Center — 3466 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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