NPIMap

Individual provider Active NPI

Demetrios George Maragos, MD

  • Interventional Cardiology Physician
  • Liberty, MO
National Provider Identifier
1063409381
Registry record updated Oct 7, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
103375 Issued in MO
Practice address
2521 Glenn Hendren Dr
Suite 306
Liberty, MO 64068-3388
Phone
(816) 407-5430
Fax
(816) 407-5435
NPI assigned
Oct 3, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 103375 MO
Interventional Cardiology Physician 207RI0011X 103375 MO Primary

Addresses

Primary practice location

2521 Glenn Hendren Dr
Suite 306
Liberty, MO 64068-3388

Mailing address

PO Box 219672
Kansas City, MO 64121-9672
Phone (816) 407-5430

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100910000797 MO Practitioner - Interventional CardiologyPractitioner - Cardiovascular Disease (Cardiology) 2668526724 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Interventional CardiologyAlso: Cardiovascular Disease (Cardiology)
Education
University of Nebraska College of Medicine, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
New Liberty Hospital Corporation 135 clinicians

Practice addresses (Care Compare)

2521 Glenn Hendren Dr
Suite 308
Liberty, MO 64068-3388
Phone (816) 407-5490

Hospital & facility affiliations

  • Liberty Hospital Hospital, Liberty, MO, CCN 260177
  • Excelsior Springs Hospital Hospital, Excelsior Springs, MO, CCN 261322
  • Hedrick Medical Center Hospital, Chillicothe, MO, CCN 261321
  • Harrison County Community Hospital Hospital, Bethany, MO, CCN 261312
  • Ray County Memorial Hospital Hospital, Richmond, MO, CCN 261327

Merit-based Incentive Payment System (MIPS)

Final score
81.21 of 100Reported as group
Quality
69.99
Promoting interoperability
99
Improvement activities
40
Cost
68.22

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting11
Pacemaker insertion or repair11

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
103375MOMDInterventional Cardiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
New Liberty Hospital Coporation CurrentSince Nov 1, 2012 Accepting new patients
New Liberty Hospital Corporation Cardiovascular Disease CurrentSince Nov 1, 2012 Accepting new patients
New Liberty Hospital Corporation Current Accepting new patients
Advanced Cardiovascular Specialists I,LLC Cardiovascular Disease Past Accepting new patients
New Liberty Hospital Coporation Past Accepting new patients

Locations

2600 Miller St
Bethany, MO 64424
Phone (660) 425-2211

1700 Rainbow Blvd
Exclsor Sprgs, MO 64024

305 S Platte Clay Way
Kearney, MO 64060
Phone (816) 628-4409

2521 Glenn Hendren Dr
Ste 306
Liberty, MO 64068
Phone (816) 407-5430

2521 Glenn Hendren Dr
Ste 308
Liberty, MO 64068
Phone (816) 407-5490

2521 Glenn Hendren Dr
Ste 410
Liberty, MO 64068
Phone (816) 415-3437

Interoperability endpoints

  • Direct secure messaging: demetrios.maragos.p1@direct.nlhc.nextgenshare.com

Organizations & group practices 9

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

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1128297600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1475798400000",
    "number": "1063409381",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 219672",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641219672",
            "telephone_number": "816-407-5430",
            "fax_number": "816-407-5435"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2521 GLENN HENDREN DR",
            "address_2": "SUITE 306",
            "city": "LIBERTY",
            "state": "MO",
            "postal_code": "640683388",
            "telephone_number": "816-407-5430",
            "fax_number": "816-407-5435"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARAGOS",
        "first_name": "DEMETRIOS",
        "middle_name": "GEORGE",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-03",
        "last_updated": "2016-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "MO",
            "license": "103375",
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "MO",
            "license": "103375",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Liberty, MO

Sources for this page

Verify at the official NPI Registry.