Active NPI
Karen A. Flannery Demara, M.D.
- Hospitalist Physician
- West Palm Beach, FL
National Provider Identifier
1093755464
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hospitalist Physician
- License
- ME79743
- Practice address
- 1309 N Flagler Dr
West Palm Beach, FL 33401-3406 - Phone
- (561) 882-4541
- Fax
- (561) 650-6093
- NPI assigned
- Jun 7, 2006
- Last updated
- Mar 16, 2016
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | ME79743 | FL | |
| Hospitalist Physician | 208M00000X | ME79743 | FL | Primary |
Addresses
Primary practice location
1309 N Flagler Dr
West Palm Beach, FL 33401-3406
Mailing address
9960 Central Park Blvd N
Ste 400
Boca Raton, FL 33428-1759
Phone (561) 288-5000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 263577103 | Medicaid | FL |
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: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
- Opted out of Medicare
- Yes, effective Jul 21, 2020 through Jul 21, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Origins Behavioral Healthcare of Florida, LLC | Past | Accepting new patients | |
| Palm Beach Inpatient Specialists | Internal Medicine | Past | Accepting new patients |
Organizations & group practices 2
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.
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- NPI 1568537678
Internal Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149638400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1458086400000",
"number": "1093755464",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9960 CENTRAL PARK BLVD N",
"address_2": "STE 400",
"city": "BOCA RATON",
"state": "FL",
"postal_code": "334281759",
"telephone_number": "561-288-5000",
"fax_number": "561-482-1469"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1309 N FLAGLER DR",
"city": "WEST PALM BEACH",
"state": "FL",
"postal_code": "334013406",
"telephone_number": "561-882-4541",
"fax_number": "561-650-6093"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FLANNERY DEMARA",
"first_name": "KAREN",
"middle_name": "A.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-07",
"last_updated": "2016-03-16",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "FL",
"license": "ME79743",
"primary": false
},
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "FL",
"license": "ME79743",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "263577103",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in West Palm Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2016; 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; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.