Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DERRICK SSENKUSU
Active Sole ProprietorDERRICK SSENKUSU is a Podiatric Surgery healthcare provider located in PHOENIX, Arizona. NPI 1669331484 is currently active in the NPPES registry. Verify at CMS.
Podiatric Surgery · PHOENIX, AZ
Registration Details
- NPI Number
- 1669331484
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jan 17, 2026 (0.59881716060201 yrs)
- Last Updated
- Jan 17, 2026
- Sole Proprietor
- Yes
Practice Information
- Address
-
1717 W NORTHERN AVE STE 101PHOENIX, AZ, 850215400Browse AZ providers · Browse ZIP 85021
- Phone
- 8188108120
- Primary Specialty
-
Podiatric Surgery
3747A0650X
- Additional Specialty
- Podiatric Surgery
Other Podiatric Surgery Providers in PHOENIX, AZ
| Name | Credential | NPI |
|---|---|---|
| VALERIE GAMBLE | — | 1750444733 |
| MUSTAFA ARBAB | — | 1417468075 |
| RUSTY LASSITER | — | 1356998363 |
| MIGUEL ANGEL MATAMOROS | — | 1336796341 |
| MARGARET L COLE | — | 1811545213 |
| CASSIE HARDESTY | — | 1467094466 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.