Jose Javier Derdoy, MD
NPI 1396838876ActiveIndividual· Pediatrics, Pediatric Gastroenterology· Saint Louis, MO
Pediatrics, Pediatric Gastroenterology (MD) in Saint Louis, Missouri, licensed in MO and KY, with an NPI issued in October 2006. Enrolled in Medicare as practitioner - gastroenterology and practitioner - pediatric medicine. Capsovision, Inc. reported $5,300 in payments in 2025, mostly consulting fees.
Overview
| NPI | 1396838876 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | MD |
| Sole proprietor | No |
| NPI issued | Oct 2, 2006 |
| Last updated in NPPES | Oct 4, 2024 |
| Certified by provider | Oct 4, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pediatrics, Pediatric Gastroenterology Primary | 2080P0206X | 2007002166 | MO |
| Pediatrics, Pediatric Gastroenterology | 2080P0206X | 60035 | KY |
| Specialist | 174400000X | 430654872 | MO |
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 - Gastroenterology (FL); Practitioner - Pediatric Medicine (ND) |
|---|
Education and affiliations
| Graduation year | 1988 |
|---|---|
| Medicare specialty | Pediatric Medicine |
| Secondary specialties | Gastroenterology |
Industry payments (Open Payments)
- 2025$5,300 · 2 payments from 1 company
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Capsovision, Inc. | $5,300 | 2 |
What the 2025 payments were for
- Consulting Fee$5,300 · 2 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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