Individual provider Active NPI

Demetrius Christoforatos, MD

  • Anesthesiology Physician
  • Flourtown, PA
National Provider Identifier
1023078391
Registry record updated Aug 13, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
MD036318L Issued in PA
Practice address
1110 Bethlehem Pike
Flourtown, PA 19031-2001
Phone
(570) 346-7797
Fax
(770) 666-9078
NPI assigned
Mar 23, 2006
Last updated
Aug 13, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X MD036318L PA Primary

Addresses

Primary practice location

1110 Bethlehem Pike
Flourtown, PA 19031-2001

Mailing address

1110 Bethlehem Pike
Flourtown, PA 19031-2001
Phone (570) 346-7797

Other identifiers 2

IdentifierTypeStateIssuer
0010156520018MedicaidPA
P00639175OtherPARR MEDICARE

Other names 1

  • Demetrangelos Christoforatos Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051222000500 PA Practitioner - AnesthesiologyPractitioner - Family PracticePractitioner - Pain Management 6800878125

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
0

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Loyalsock Chiropractic Center Inc. Past Accepting new patients
House Call Group, PC PastSince Aug 1, 2018 Accepting new patients
North American Partners in Anesthesia, Pennsylvania , LLC Anesthesiology Past Accepting new patients
Anesthetix of Bradford, LLC Anesthesiology Past Accepting new patients

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1143072000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1534118400000",
    "number": "1023078391",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1110 BETHLEHEM PIKE",
            "city": "FLOURTOWN",
            "state": "PA",
            "postal_code": "190312001",
            "telephone_number": "570-346-7797",
            "fax_number": "770-666-9078"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1110 BETHLEHEM PIKE",
            "city": "FLOURTOWN",
            "state": "PA",
            "postal_code": "190312001",
            "telephone_number": "570-346-7797",
            "fax_number": "770-666-9078"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHRISTOFORATOS",
        "first_name": "DEMETRIUS",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-23",
        "last_updated": "2018-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "PA",
            "license": "MD036318L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0010156520018",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P00639175",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DEMETRANGELOS",
            "last_name": "CHRISTOFORATOS",
            "credential": "MD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Flourtown, PA

Sources for this page

Verify at the official NPI Registry.