Jennifer Shuler Deramo, MD
NPI 1063717551ActiveIndividual· Pediatrics· Park City, UT
Pediatrics (MD) in Park City, Utah, licensed in UT and TX, with an NPI issued in January 2011. Enrolled in Medicare as practitioner - pediatric medicine. Ethicon US, LLC reported $121.16 in payments in 2024, mostly food and beverage.
Overview
| NPI | 1063717551 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | MD |
| Sole proprietor | No |
| NPI issued | Jan 14, 2011 |
| Last updated in NPPES | Aug 12, 2026 |
| Certified by provider | Aug 12, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pediatrics Primary | 208000000X | 12377696-1205 | UT |
| Student in an Organized Health Care Education/Training Program | 390200000X | — | — |
| Pediatrics, Pediatric Emergency Medicine | 2080P0204X | Q5996 | TX |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Pediatric Medicine (TX) |
|---|
Industry payments (Open Payments)
- 2024$121.16 · 1 payment from 1 company
Top paying companies in 2024
| Company | Amount | Payments |
|---|---|---|
| Ethicon US, LLC | $121.16 | 1 |
What the 2024 payments were for
- Food and Beverage$121.16 · 1 payment
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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