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

Robert Joseph Derveloy III, MD

Individual provider Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician · NPI 1689674707

Robert Joseph Derveloy III, MD is a Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician in Tupelo, Mississippi. Licensed in Mississippi. Registered with an NPI since 2005.

Licensed in
MS
In the registry since
2005
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

830 S Gloster St Nmmc East Tower 4th Fl
Tupelo, MS 38801-4934
Phone: (662) 377-7170
Fax: (662) 377-2423
Show map & directions

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

Specialties & licences

Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician (primary) Taxonomy 208G00000X · Licence 12390 (MS)

Record details

NPI number1689674707
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 29, 2005
Last updated in NPPESJuly 13, 2026

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