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

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1962998765

Ouassim Derbal, MD is an Internal Medicine in Roanoke Rapids, North Carolina. Qualified in 2017, 9 years ago. Practices with Vidant Medical Group LLC, a 974-clinician group and accepts Medicare assignment. Licensed in North Carolina.

Years since qualifying
9
Licensed in
NC
In the registry since
2018
Specialties on file
3
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

250 Smith Church Rd
Roanoke Rapids, NC 27870-4914
Phone: (252) 535-8011
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 2021-01829 (NC)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X · Licence 239615 (NC)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1962998765
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 3, 2018
Last updated in NPPESAugust 3, 2021
Certification dateAugust 3, 2021
Mailing address17303 Musselburgh Dr, Cary, NC 27518-6976

Medicare enrollment

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

Medicare specialtyINTERNAL MEDICINE
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Vidant Medical Group Llc — 974 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations6 on file with Medicare

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