Michael Anthony Derose
NPI 1033185871ActiveIndividual· Dentist, General Practice· Pueblo, CO
Listed on the HHS-OIG exclusion list since August 2010 (1128b4). Dentist, General Practice in Pueblo, Colorado, licensed in CO, IN, OK and NM and other states, with an NPI issued in February 2006.
Overview
| NPI | 1033185871 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | No |
| NPI issued | Feb 23, 2006 |
| Last updated in NPPES | Jul 13, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist, General Practice Primary | 1223G0001X | DEN-5133 | CO |
| Dentist, General Practice | 1223G0001X | 12010424A | IN |
| Dentist, General Practice | 1223G0001X | 5643 | OK |
| Dentist, General Practice | 1223G0001X | DD2030 | NM |
| Dentist, General Practice | 1223G0001X | 60184 | KS |
Exclusion screening
This NPI appears on the OIG exclusion list. Excluded parties cannot be paid by Medicare, Medicaid or other federal health care programs, directly or through an employer.
| Matched by | Name on OIG list | Exclusion type | Excluded since | Location |
|---|---|---|---|---|
| NPI | Michael Anthony Derose · Dentist | 1128b4 | Aug 19, 2010 | Pueblo, CO |
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | Listed (NPI) | See above |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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All 91 general dentists in Pueblo · All general dentists in Colorado