Dr Trevor John Derderian, MD - Medicare Vascular Surgery in Rancho Mirage, CA

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Dr Trevor John Derderian, MD is a medicare enrolled "Surgery - Vascular Surgery" physician in Rancho Mirage, California. He graduated from medical school in 2010 and has 16 years of diverse experience with area of expertise as Vascular Surgery. He is a member of the group practice Desert Advanced Imaging Medical Center, Eisenhower Medical Center and his current practice location is 39000 Bob Hope Dr, Rancho Mirage, California. You can reach out to his office (for appointments etc.) via phone at (760) 340-9216.

Dr Trevor John Derderian is licensed to practice in California (license number 148584) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1124346697.

Contact Information

Dr Trevor John Derderian, MD
39000 Bob Hope Dr,
Rancho Mirage, CA 92270-3221
(760) 340-9216
(760) 341-2093

Map and Direction




Physician's Profile

Full NameDr Trevor John Derderian
GenderMale
SpecialityVascular Surgery
Experience16 Years
Location39000 Bob Hope Dr, Rancho Mirage, California
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Trevor John Derderian graduated from medical school in 2010
  NPI Data:
  • NPI Number: 1124346697
  • Provider Enumeration Date: 05/09/2010
  • Last Update Date: 12/30/2025
  Medicare PECOS Information:
  • PECOS PAC ID: 2264748623
  • Enrollment ID: I20170717001933

Medical Identifiers

Medical identifiers for Dr Trevor John Derderian such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1124346697NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2086S0129XSurgery - Vascular Surgery 148584 (California)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Eisenhower Medical CenterRancho mirage, CAHospital
Desert Regional Medical CenterPalm springs, CAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Desert Advanced Imaging Medical Center6406749613209
Eisenhower Medical Center5890689657462

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Trevor John Derderian allows following entities to bill medicare on his behalf.
Entity NameBeverly Radiology Medical Group III
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1962457812
PECOS PAC ID: 3476466376
Enrollment ID: O20031106000784
Entity NameBeverly Radiology Medical Group III
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1962457812
PECOS PAC ID: 3476466376
Enrollment ID: O20040202001145
Entity NameDesert Advanced Imaging Medical Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1568416147
PECOS PAC ID: 6406749613
Enrollment ID: O20050622001415
Entity NameBeverly Radiology Medical Group III
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1962457812
PECOS PAC ID: 3476466376
Enrollment ID: O20060221000914
Entity NameSan Fernando Valley Interventional Radiology and Imaging Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1942350889
PECOS PAC ID: 3476651431
Enrollment ID: O20070614000478
Entity NameEmergency Associates Corporation
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1003866120
PECOS PAC ID: 8022196518
Enrollment ID: O20080424000144
Entity NameEisenhower Medical Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1013981554
PECOS PAC ID: 5890689657
Enrollment ID: O20100506000102

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Trevor John Derderian is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Trevor John Derderian, MD
39000 Bob Hope Dr,
Rancho Mirage, CA 92270-3221

Ph: (760) 340-9216		Dr Trevor John Derderian, MD
39000 Bob Hope Dr,
Rancho Mirage, CA 92270-3221

Ph: (760) 340-9216

Reviews and Comments


Surgery Doctors in Rancho Mirage, CA

Mr. Bobby Sulin Bhasker-rao, MD
Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 35900 Bob Hope Dr, Suite 205, Rancho Mirage, CA 92270
Phone: 760-778-5220    Fax: 760-778-5221
Dr. Justin Michael Reckard, MD
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Practice Location: 71943 Highway 111, Rancho Mirage, CA 92270
Phone: 760-776-7600    Fax: 760-776-7640
Karl A Schulz, MD
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Practice Location: 39000 Bob Hope Dr, Rancho Mirage, CA 92270
Phone: 760-346-8771    Fax: 760-773-1643
Dr. Jorge Almodovar, M.D.
Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 39000 Bob Hope Dr, Rancho Mirage, CA 92270
Phone: 760-837-8601    Fax: 760-834-8611
Diya H Tantawi, MD, FACS
Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 70225 Highway 111 Ste B&c, Rancho Mirage, CA 92270
Phone: 760-537-3023    Fax: 760-837-8611
Steve Choe, M.D.
Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 39000 Bob Hope Dr, Rancho Mirage, CA 92270
Phone: 760-837-8601    Fax: 708-837-8611
Gilberto C. Russo, M.D.
Surgery
Medicare: Not Enrolled in Medicare
Practice Location: 71777 San Jacinto Dr, Ste 101g, Rancho Mirage, CA 92270
Phone: 760-969-6559    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.