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

Michelle L Derusso, MD

Individual provider Pediatric Critical Care Medicine Physician · NPI 1316471576

Michelle L Derusso, MD is a Pediatric Critical Care Medicine Physician in Houston, Texas. Practices as a sole proprietor. Licensed in North Carolina.

Licensed in
NC
In the registry since
2017
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

6621 Fannin St
Houston, TX 77030-2399
Phone: (512) 789-5167
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Critical Care Medicine Physician (primary) Taxonomy 2080P0203X · Licence 227262 (NC)

Record details

NPI number1316471576
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorYes
NPI enumeratedApril 14, 2017
Last updated in NPPESSeptember 15, 2023
Certification dateSeptember 7, 2023
Mailing address6621 Fannin St, Houston, TX 77030-2399

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