Tara Deryavoush, D.O

NPI 1851718092ActiveIndividual· Internal Medicine· Mount Clemens, MI

Internal Medicine (D.O) in Mount Clemens, Michigan, trained at Michigan State University College of Osteopathic Medicine (class of 2014). Their prescriptions cost Medicare Part D more than their services did: $583,115 for 5,480 claims, against $33,067 paid for services in 2024. Amgen Inc. was the largest of 8 companies reporting payments in 2025, $359.12 in all, mostly food and beverage.

Overview

NPI	1851718092
Status	Active
Entity type	Individual
Credential	D.O
Sole proprietor	No
NPI issued	Mar 26, 2014
Last updated in NPPES	Jul 21, 2022
Certified by provider	May 2, 2022

Specialties and licenses

Taxonomy	Code	License	State
Internal Medicine Primary	207R00000X	5101020870	MI
Hospitalist	208M00000X	5101020870	MI

About license numbers in NPPES

Exclusion screening

List	Result	Details
HHS-OIG LEIE · Nov 10, 2026	No match	Checked by NPI and by name + state
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)	Enrolled Practitioner - Internal Medicine (MI)
Accepts assignment	Yes (participating)

Medicare services in 2024

Medicare patients	183
Services billed	934 across 40 procedure codes
Paid by Medicare	$33,067

Part D prescriptions in 2024

Prescriptions (claims)	5,480 · 13,205 30-day fills
Patients	427
Total drug cost	$583,115
Generic share	87% of claims

Medicare sources and data years

Education and affiliations

Medical school	Michigan State University College of Osteopathic Medicine
Graduation year	2014
Medicare specialty	Internal Medicine
Telehealth	Offers telehealth