ADITYA MANJUL DERASARI (M.D.) – Adult Reconstructive Orthopaedic Surgery Physician, NPI 1902070725

ADITYA MANJUL DERASARI (M.D.) is a healthcare provider. based in Miami, Florida. specializing in ORTHOPEDIC SURGERY. They hold the professional credentials M.D.. They hold a License No. 276427 (NY). The NPI Number for ADITYA MANJUL DERASARI (M.D.) is 1902070725

Main info

Male
18 Years Of Experience
Accepts Medicare Assignment
Name
ADITYA MANJUL DERASARI (M.D.)
NPI
1902070725
Phone
(301) 243-3000
Address
PO BOX 16960
Enumeration Date
14 April 2008
Last Update Date
18 December 2024

Doctor Profile

Medical School Name
UNIVERSITY OF SOUTH FLORIDA COLLEGE OF MEDICINE
Secondary Phone
-
Graduation Year
2008 (18 years ago)
PAC ID
9133340664
Group Practice PAC ID
4082883673
Professional Enrollment ID
I20141024001500
Address ID
NY113651449FR16303EXPY400

Contacts

FHIR Endpoint
https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/DSTU2/
Secure Messaging
amd9052@direct.nyp.org
FHIR Endpoint
https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/R4/
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience60
Completeness85
Years active:18State licenses:1Other namesUpdated within 12 months

1,916 ORTHOPEDIC SURGERY in FL

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Provider Addresses for ADITYA MANJUL DERASARI (M.D.)

  • 16960, Northwest 75th Court, Palm Springs North, Hialeah, Miami-Dade County, Florida, 33015, United States

    MIAMI, FL 331016960

    Phone: (301) 243-3000

    Type: Mailing

  • Jackson Memorial Hospital, 1611, Northwest 12th Avenue, Miami, Miami-Dade County, Florida, 33136, United States

    MIAMI, FL 331361005

    Phone: (305) 243-3000

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 22 Open Payments records for all available years, with a total value of $6,112.

Total Amount is formed as General ($6,112) + Research ($0) + Ownership ($0) = $6,112.

Last reported payment date: 2024-11-08 • Largest payer in this snapshot: Baxter Healthcare ($5,216).

Total Amount

$6,112

General + Research + Ownership

Payments

22

Total payment records

General Amount

$6,112

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-08

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2014-10-24

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20141024001500IOrthopedic SurgeryNYTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
J3301Injection, triamcinolone acetonide, not otherwise specified, 10 mg25645$0
20610Aspiration and/or injection of fluid from large joint19990$0
99213Established patient office or other outpatient visit, 20-29 minutes184135$0
J7324Hyaluronan or derivative, orthovisc, for intra-articular injection, per dose11324$0
99203New patient office or other outpatient visit, 30-44 minutes7171$0
View full utilization report →

Insurance plans in this area (ZIP 33101)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 4082883673View full group profile
NameSpecialtyState
Physician AssistantNY
Physician AssistantNY
General SurgeryNY
-NY
Cardiovascular Disease (Cardiology)NY
P O D I A T R YNY
Thoracic Surgery, General SurgeryNY
-NY
Physician AssistantNY
-NY

Reviews

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Frequently asked questions

Does ADITYA MANJUL DERASARI (M.D.) have a public NPI I can cite?
Public records show ADITYA MANJUL DERASARI (M.D.) under NPI 1902070725.
Does the public listing show ADITYA MANJUL DERASARI (M.D.) as active?
ADITYA MANJUL DERASARI (M.D.)'s NPI record reflects an active status in NPPES.
How should patients interpret ADITYA MANJUL DERASARI (M.D.)'s specialty?
The extract shows Adult Reconstructive Orthopaedic Surgery Physician for ADITYA MANJUL DERASARI (M.D.). Clinical services aligned with this taxonomy classification.
Can patients visit ADITYA MANJUL DERASARI (M.D.) in Miami, Florida?
For routing, start with Miami, Florida for ADITYA MANJUL DERASARI (M.D.), then verify phone and hours locally.
Why is information missing for ADITYA MANJUL DERASARI (M.D.)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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