Individual provider Active NPI

Merry Katherine Demko, M.D.

  • Family Medicine Physician
  • Pittsburg, PA
National Provider Identifier
1063478253
Registry record updated Jun 19, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
036-095115 Issued in IL
Practice address
1984 Greentree Road
Pittsburg, PA 15220
Phone
(412) 343-3627
Fax
(815) 285-8903
NPI assigned
Apr 25, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 036-095115 IL Primary

Addresses

Primary practice location

1984 Greentree Road
Pittsburg, PA 15220

Mailing address

1984 Greentree Road
Pittsburgh, PA 15220
Phone (412) 343-3627

Other identifiers 1

IdentifierTypeStateIssuer
036095115MedicaidIL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036-095115ILMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Medexpress Urgent Care, PC - Pennsylvania Family Medicine CurrentSince Dec 28, 2014 Accepting new patients
Medexpress Urgent Care, PC - Pennsylvania CurrentSince Dec 28, 2014 Accepting new patients
Urgent Care, PC - Pennsylvania Current Accepting new patients

Locations

4808 Edgmont Ave
Brookhaven, PA 19015
Phone (610) 876-3072

7219 McKnight Rd
Ste F
Pittsburgh, PA 15237
Phone (412) 367-3278

1984 Greentree Rd
Pittsburgh, PA 15220
Phone (412) 343-3627

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1145923200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1434672000000",
    "number": "1063478253",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1984 GREENTREE ROAD",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "15220",
            "telephone_number": "412-343-3627",
            "fax_number": "815-285-8903"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1984 GREENTREE ROAD",
            "city": "PITTSBURG",
            "state": "PA",
            "postal_code": "15220",
            "telephone_number": "412-343-3627",
            "fax_number": "815-285-8903"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEMKO",
        "first_name": "MERRY",
        "middle_name": "KATHERINE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-25",
        "last_updated": "2015-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "036-095115",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036095115",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pittsburg, PA

Sources for this page

Verify at the official NPI Registry.