Tara Deryavoush, D.O
Internal Medicine · Mount Clemens, MI
At a glance
133 S Main St, Mount Clemens, MI 48043-2308
NPPES record updated Jul 21, 2022. Public records can lag behind changes at a practice.
Before you call: a quick checklist
- Are you accepting new patients?
- Do you accept my specific insurance plan?
- Do you provide the service I need at this address?
- Do I need a referral, and what is the earliest appointment?
Insurance participation and appointment availability are not established by these public records.
Medicare & insurance
Insurance participation is not established by these public records. Ask the practice and your insurer about your specific plan and this location.
How to check your coverage
Use your plan’s provider directory or the member-services number on your insurance card. Confirm the clinician, practice address, service, and whether a referral is required. A missing opt-out record does not establish Medicare acceptance.
Check the official Medicare directory ↗Practice location
133 S Main StMount Clemens, MI 48043-2308
Additional reported practice locations
15855 19 Mile RdClinton Township, MI 480383504
Phone: 5862632950 17392 W 13 Mile Rd
Beverly Hills, MI 480255438
Phone: 2486468166
Fax: 2486468176 50505 Schoenherr Rd Ste 340
Shelby Township, MI 483153140
Phone: 5867318400
Fax: 5867318406
Education & affiliations
- Medical / professional school
- Michigan State University College Of Osteopathic Medicine
- Graduation year
- 2014
- CMS specialties
- Internal Medicine
CMS reports telehealth services for this clinician. Confirm current services and availability with the practice.
Practice groups
Reported hospital affiliations
- Henry Ford Health Hospital Detroit, MI
- Henry Ford Health St John Hospital Detroit, MI
- Henry Ford Macomb Hospital Clinton Township, MI
- Mclaren Macomb Mount Clemens, MI
Graduation year does not establish years in practice. A reported affiliation does not establish employment, current admitting privileges, or insurance participation.
Source: CMS National Downloadable File · Published Oct 15, 2026.
Source: CMS Facility Affiliation Data · Published Oct 15, 2026.
Procedures in the public data
Reported activity can help you ask more informed questions about a practice’s services.
No displayed procedure-category record in this release. This does not mean the clinician performs no procedures.
CMS uses a one-year claims window with a reporting lag. Counts cover the Medicare activity included by CMS, not all patients. “1–10” is a published range. Volume is not a quality or outcomes score. Coverage and methodology
Source: CMS Utilization Data · Published Oct 15, 2026.
Find providers with a similar service mix
Compare 2024 published Medicare activity in the same reported specialty, here or in another city.
Industry-reported general payments
Includes reported transfers of value, such as meals, travel, or consulting. Payments do not establish improper conduct or quality of care. Research funding and ownership values are excluded from this total.
See payment purposes and reporting companies
Reported purposes
| Purpose | Amount |
|---|---|
| Food and beverage | $359.12 |
Reporting companies
| Company | Amount |
|---|---|
| AMGEN INC. | $75.40 |
| NOVO NORDISK INC | $74.76 |
| AIMMUNE THERAPEUTICS, INC. | $58.69 |
| LILLY USA, LLC | $43.46 |
| PFIZER INC. | $36.77 |
| EXACT SCIENCES CORPORATION | $35.45 |
| LUNDBECK LLC | $17.59 |
| ASTRAZENECA PHARMACEUTICALS LP | $17.00 |
Source: CMS 2025 payments grouped by covered recipient and nature of payments · Published Jun 30, 2026.
Professional details: NPI, taxonomy & registry record
Registry details
- Primary taxonomy
- Internal Medicine
- Taxonomy code
- 207R00000X
- Enumeration date
- Mar 26, 2014
- Record updated
- Jul 21, 2022
More registry details
- Provider type
- Individual · Type 1
- Reported credentials
- D.O
Reported taxonomies and licenses
208M00000X
License reported: 5101020870 MI
207R00000X · Primary
License reported: 5101020870 MI
License numbers and credentials are reported to NPPES; HCPList does not independently verify them.
Practice location
133 S Main StMount Clemens, MI 48043-2308
- Phone
- (586) 468-1600
Mailing address
50505 SCHOENHERR RD STE 340SHELBY TOWNSHIP, MI 483153140
Information may be outdated or incomplete. Confirm details directly with the practice. HCPList is an independent directory and is not affiliated with CMS.
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