Individual Healthcare Provider
Alta J. Deroo, MD
Provider's NPPES record last updated: October 18, 2024
Overview
- Entity Type
- Individual Healthcare Provider
- NPI
- 1184791725
- Primary Specialty
- Preventive Medicine — Addiction Medicine
- Practice Location
- Kalamazoo, Michigan
- Sole Proprietor
- No
Federal Screening
NPISignal checked this NPI against federal exclusion sources. Results below are based on the NPI number itself — an identifier match, not a name match.
List of Excluded Individuals/Entities (LEIE)
HHS Office of Inspector General
No potential match was identified in NPISignal's indexed List of Excluded Individuals/Entities (LEIE) records as of 2026-09-10.
- Source data
- September 10, 2026
- Records indexed
- 84,001
- Screened
- Sep 18, 2026, 12:35 PM UTC
This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.
SAM.gov Exclusions
U.S. General Services Administration
SAM.gov Exclusions was not checked.
SAM.gov screening is not configured on this deployment. No SAM check has been performed.
- Screened
- Not checked
This is an NPI-based check only. NPISignal does not publish name-based exclusion matches on a provider profile. A shared or similar name is a lead that requires human review, not an identification, and this page is not the place to make one. Run a name-based screening below to see potential matches with the reasons for each.
This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.
Searches OIG LEIE and SAM.gov by name and reviews every potential match.
Specialties & Taxonomies
- Primary
Preventive Medicine
Addiction Medicine
Allopathic & Osteopathic Physicians
A physician engaged in the subspecialty practice of Addiction Medicine who specializes in the prevention, evaluation, diagnosis, treatment, and recovery of persons with the disease of addiction.
Taxonomy code 2083A0300X Obstetrics & Gynecology
Allopathic & Osteopathic Physicians
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
Taxonomy code 207V00000X
Provider-Reported License Information
- Preventive Medicine (Minnesota)
- 71806
- Obstetrics & Gynecology (Minnesota)
- 71806
- Obstetrics & Gynecology (California)
- 168454
- Preventive Medicine (California)
- 168454
- Obstetrics & Gynecology (Michigan)
- 4301116178
- Obstetrics & Gynecology (Virginia)
- 0101237764
Practice Locations
Practice Location
1521 Gull Rd
Kalamazoo, Michigan 49048-1640
Phone: (269) 226-5927
Record Information
- Enumeration Date
- November 29, 2006
- Provider's NPPES Record Last Updated
- October 18, 2024
- Certification Date
- October 18, 2024
- NPISignal NPPES Dataset
- August 2026
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