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

Tara Deryavoush, DO

Individual provider Hospitalist Physician · NPI 1851718092

Tara Deryavoush, DO is an Internal Medicine in Mount Clemens, Michigan. Graduated from Michigan State University College of Osteopathic Medicine in 2014, 12 years ago. Practices with Henry Ford Physician Partners, a 79-clinician group, works from 4 locations and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
12
Trained at
Michigan State University College of Osteopathic Medicine
Licensed in
MI
In the registry since
2014
Specialties on file
2
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

133 S Main St
Mount Clemens, MI 48043-2308
Phone: (586) 468-1600
Show map & directions

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

Additional practice locations (3)

  • 17392 W 13 Mile Rd, Beverly Hills, MI 48025-5438 — (248) 646-8166
  • 15855 19 Mile Rd, Clinton Township, MI 48038-3504 — (586) 263-2950
  • 50505 Schoenherr Rd Ste 340, Shelby Township, MI 48315-3140 — (586) 731-8400

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 5101020870 (MI)
Hospitalist Physician Taxonomy 208M00000X · Licence 5101020870 (MI)

Record details

NPI number1851718092
Entity typeIndividual (Type 1)
GenderFemale
Credentials DO
Sole proprietorNo
NPI enumeratedMarch 26, 2014
Last updated in NPPESJuly 21, 2022
Certification dateMay 2, 2022
Mailing address50505 Schoenherr Rd Ste 340, Shelby Township, MI 48315-3140

Medicare enrollment

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

Medicare specialtyINTERNAL MEDICINE
Medical schoolMICHIGAN STATE UNIVERSITY COLLEGE OF OSTEOPATHIC MEDICINE
Graduated 2014 (12 years in practice)
Group practice Henry Ford Physician Partners — 79 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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