Dr. Patrick Derby
DPM | Podiatrist - Primary Podiatric Medicine | 6+ years Exp
Medicare Enrolled
4700 N Habana Ave Ste 400, Tampa
Florida, 33614-7119
813-499-0774 Maps & DirectionsDr. Patrick Derby is a Tampa, Florida based podiatrist with 6 years of experience in Primary Podiatric Medicine. He completed his graduation from California School Of Podiatric Medicine in 2019. He accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Dr. Patrick Derby for Podiatry is PO4422 in Florida.
Dr. Patrick Derby provides care, treatment and management of the diabetic, elderly and circulation-impaired. The diagnosis, intervention and treatment on time may save patients from amputation, restore mobility or prevent other serious, more costly problems. By early detection patients can get appropriate treatment and prevent more serious problems.
Complete Profile:
Dr. Patrick Derby speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
| Specialization: | Primary Podiatric Medicine |
| Credentials: | DPM |
| Experience: | 6+ years |
| Medical School Attended: | California School Of Podiatric Medicine |
| Graduation Year: | 2019 |
| Gender: | Male |
| Accepts Medicare Assignment: | Yes |
| Practice Address: | 4700 N Habana Ave Ste 400, Tampa, Florida, 33614-7119 |
| Phone: | 813-499-0774 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
| PAC ID: | 2264767433 |
| Enrollment ID: | I20220613002182 |
| NPI Number: | 1073075222 |
| NPI Enumeration Date: | 04 Apr, 2019 |
| NPI Last Update On: | 10 Mar, 2025 |
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Patrick Derby are as mentioned below.
| License Number | Specialization | State | Status | |
| PO4422 | Podiatry | Florida | Primary | |
| PO4422 | Primary Podiatric Medicine | Florida | Secondary | |
| PO4422 | Podiatric Sports Medicine | Florida | Secondary | |
| PO4422 | Podiatric Foot & Ankle Surgery | Florida | Secondary | |
| PO4422 | Podiatric Foot Surgery | Florida | Secondary | |
Other Medical Identifiers:
Other legacy medical identifiers associated with Dr. Patrick Derby such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 114530400 | Medicaid | Florida | |
| 15659126 | Other | | CAQH ID |
| 6605657 | Other | Florida | AETNA |
| OPOAV | Other | Florida | BCBS |
| 7333506 | Other | Florida | CIGNA ID |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 15815 Shaddock Dr Ste 130, Winter Garden, Florida |
| Zip: | 34787-5773 |
| Phone Number: | 813-400-1140 |
| Fax Number: | 813-701-9132 |
Patients can reach Dr. Patrick Derby at
4700 N Habana Ave Ste 400, Tampa, Florida or can
call to book an appointment on 813-499-0774.
Comments/ Reviews:
Patients can read all the reviews posted for Dr. Patrick Derby below. You may also share your own experience like the quality of treatment, behavior, and overall care provided by Dr. Patrick Derby. It will help others make informed decisions.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 13 October, 2025.