Active NPI
Dominique Dempah, M.D.
- Surgery Physician
- Salem, VA
National Provider Identifier
1073763751
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 0101262786
- Practice address
- 1802 Braeburn Dr
Salem, VA 24153-7357 - Phone
- (540) 772-3620
- Fax
- (540) 725-5016
- NPI assigned
- Sep 30, 2008
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 0101262786 | VA | Primary |
| Surgery Physician | 208600000X | 4301090511 | MI |
Addresses
Primary practice location
1802 Braeburn Dr
Salem, VA 24153-7357
Mailing address
1802 Braeburn Dr
Salem, VA 24153-7357
Phone (540) 772-3620
Other practice location 1
22151 Moross Rd
PB1 suite 332
Detroit, MI 48236-2167
Phone (313) 343-7849
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- General Surgery
- Education
- Indiana University School of Medicine, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1802 Braeburn Dr
Salem, VA 24153-7357
Phone (540) 861-3010
1900 Electric Rd
Salem, VA 24153-7474
Phone (540) 776-4000
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 82.67 of 100
- Quality
- 66.8
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 75.45
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 1-10 |
| Hernia repair - groin (open) | 1-10 |
| Hernia repair (minimally invasive) | 12 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 15 |
| Removal of tissue | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4301090511 | MI | MD | Surgery Physician |
| 0101262786 | VA | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lewis Gale Physicians LLC | Multi-Specialty | Current | Accepting new patients |
| HCA Virginia Trauma Surgery Specialists LLC | Multi-Specialty | Current | Accepting new patients |
| St. John Hospital and Medical Center | Past | Accepting new patients |
Locations
2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426
1802 Braeburn Dr
Salem, VA 24153
Phone (540) 772-3400
Interoperability endpoints
- dominique.dempah@hca6.eclinicaldirectplus.com
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.
-
- Surgery Physician
- Salem, VA
- NPI 1457125718
Multi-Specialty
-
- General Acute Care Hospital
- Detroit, MI
- NPI 1437439502
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Psychiatric Hospital Unit
- Low Moor, VA
- NPI 1285932962
-
- General Acute Care Hospital
- Low Moor, VA
- NPI 1538100029
-
- General Acute Care Hospital
- Salem, VA
- NPI 1619914785
-
- General Acute Care Hospital
- Blacksburg, VA
- NPI 1275570376
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1222732800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1073763751",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1802 BRAEBURN DR",
"city": "SALEM",
"state": "VA",
"postal_code": "241537357",
"telephone_number": "540-772-3620",
"fax_number": "540-725-5016"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1802 BRAEBURN DR",
"city": "SALEM",
"state": "VA",
"postal_code": "241537357",
"telephone_number": "540-772-3620",
"fax_number": "540-725-5016"
}
],
"practiceLocations": [
{
"address_1": "22151 Moross Rd",
"address_2": "PB1 suite 332",
"address_purpose": "LOCATION",
"city": "Detroit",
"state": "MI",
"postal_code": "482362167",
"country_code": "US",
"telephone_number": "313-343-7849",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DEMPAH",
"first_name": "DOMINIQUE",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-09-30",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Surgery",
"state": "VA",
"license": "0101262786",
"primary": true
},
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "MI",
"license": "4301090511",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Salem, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.