Look up the most recent NPI and PECOS records

Derek Buss

Family Medicine

Allopathic & Osteopathic Physicians

10800 Knights Rd, Philadelphia, PA 19114-4200

PECOS Enrollment

Based on the most recent information from CMS, provider Derek Buss is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records 34 days ago.

Profile Details

Provider ID
1932847571
Provider Type
Individual
Full Name
Buss, Derek
Title
Dr.
Credential
DO

Gender
Male
Sole Proprietor
No
Enumeration Date
5/24/2022
Last Updated
8/19/2025

Contact Information

Practice Location

10800 Knights Rd, Philadelphia, PA 19114-4200

(215) 612-5161

Unlisted Fax

Mailing Location

10800 Knights Rd, Philadelphia, PA 19114-4200

Unlisted Phone

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 207Q00000X Primary	Description Family Medicine Allopathic & Osteopathic Physicians	License OS024889 Pennsylvania
Code 390200000X	Description Student in an Organized Health Care Education/Training Program Student, Health Care	License Unlisted Issuer Pennsylvania

Derek Buss

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Code

Description

License

Temple Faculty Practice Plan Inc

Elangbam, Nishikanta Singh

Faynberg, Nora

Shah, Sarah R

Aria Health Physician Services

Harford, Natalie Lyn

Trachtenberg, Jerry Milton

Palat, Herman W.

Sasnauskas, Kathleen M.

Flannery, Patrick