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

Ronald Desrouilleres, DO

Individual provider Family Medicine Physician · NPI 1285139410

Ronald Desrouilleres, DO is a Family Practice in Matthews, North Carolina. Qualified in 2018, 8 years ago. Practices with Novant Health Medical Group, LLC, a 2,410-clinician group and works from 4 locations. Licensed in North Carolina and New York.

Years since qualifying
8
Licensed in
NC, NY
In the registry since
2018
Specialties on file
3
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

4105 Matthews Mint Hill Rd
Matthews, NC 28105-3633
Phone: (704) 316-3095
Fax: (704) 316-3096
Show map & directions

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

Additional practice locations (3)

  • 7600 River Rd, North Bergen, NJ 07047-6217 — (201) 854-5000
  • 462 Grider St, Buffalo, NY 14215 — (716) 831-8612
  • 2350 Ridgeway Ave Ste A, Rochester, NY 14626-4127 — (585) 922-2440

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 2024-01643 (NC)
Family Medicine Physician Taxonomy 207Q00000X · Licence 315392 (NY)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1285139410
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorYes
NPI enumeratedMarch 29, 2018
Last updated in NPPESSeptember 16, 2024
Certification dateSeptember 16, 2024
Mailing addressPo Box 60447, Charlotte, NC 28260-0447

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Novant Health Medical Group, Llc — 2410 clinicians
Accepts Medicare assignment Not indicated
Practice locations3 on file with Medicare

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