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Dr. James Alan Derrisaw, M.D.

Anesthesiology Physician in Fort Collins, CO · enumerated 2005.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1710975586

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Registry record

Entity type Individual (Type 1)
Name Dr. James Alan Derrisaw
Credential M.D.
Sex Male
Practice address 1236 E Elizabeth St, Suite 1, Fort Collins, CO, 80524
Fax (970) 472-9381
Enumeration date Oct 6, 2005
Last updated in NPPES Jun 6, 2013

Taxonomy & licenses

208VP0014X Interventional Pain Medicine Physician Allopathic & Osteopathic Physicians · License 39525 (CO) Secondary
207L00000X Anesthesiology Physician Allopathic & Osteopathic Physicians · License 26018 (NE) Secondary
207L00000X Anesthesiology Physician Allopathic & Osteopathic Physicians · License 6553A (WY) Secondary
207L00000X Anesthesiology Physician Allopathic & Osteopathic Physicians · License DR.0039525 (CO) Primary
MD · Doctor of Medicine: A physician who completed medical school (allopathic medicine), residency training, and state licensure. About the MD credential

Other identifiers

Identifier Type State Issuer
04051262 Medicaid CO -
119537900 Medicaid WY -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

How do I verify James Derrisaw's NPI record?
Cross-check NPI 1710975586 against the official CMS registry at npiregistry.cms.hhs.gov. This page mirrors the same public NPPES data with a monthly snapshot.
Is NPI 1710975586 active?
Yes, as of the latest NPPES snapshot, NPI 1710975586 is active (record last updated 2013-06-06).

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2013-06-06.