Active NPI
Merry Katherine Demko, M.D.
- Family Medicine Physician
- Pittsburg, PA
National Provider Identifier
1063478253
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 036-095115
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 036095115 | Medicaid | IL |
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036-095115 | IL | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Medexpress Urgent Care, PC - Pennsylvania | Family Medicine | Current | Accepting new patients |
| Medexpress Urgent Care, PC - Pennsylvania | Current | 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.
-
- Urgent Care Clinic/Center
- Saint Clair, PA
- NPI 1720545320
-
- Urgent Care Clinic/Center
- Pittsburgh, PA
- NPI 1770830580
Family Medicine
-
- Emergency Medicine Physician
- Pittsburgh, PA
- NPI 1982839031
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.