Individual provider Active NPI

Demetria Maropoulos, RDN, LDN

  • Registered Dietitian
  • Chicago, IL
National Provider Identifier
1174239453
Registry record updated Jan 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
86085360 Issued in IL
Practice address
4616 N Drake Ave
Chicago, IL 60625-5814
Phone
(312) 772-4595
NPI assigned
Jan 30, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X 86085360 IL Primary

Addresses

Primary practice location

4616 N Drake Ave
Chicago, IL 60625-5814

Mailing address

4616 N Drake Ave
Chicago, IL 60625-5814
Phone (321) 772-4595

Other names 1

  • Demi Maropoulos Professional name

Medicare participation

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
86085360ILMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Demi Maropoulos Nutrition Counseling, LLC Dietitian, Registered CurrentSince Feb 8, 2023 Accepting new patients

Organizations & group practices 1

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": "1675036800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675036800000",
    "number": "1174239453",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4616 N DRAKE AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606255814",
            "telephone_number": "321-772-4595"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4616 N DRAKE AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606255814",
            "telephone_number": "312-772-4595"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAROPOULOS",
        "first_name": "DEMETRIA",
        "credential": "RDN, LDN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-01-30",
        "last_updated": "2023-01-30",
        "certification_date": "2023-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "IL",
            "license": "86085360",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DEMI",
            "last_name": "MAROPOULOS",
            "credential": "RDN, LDN",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.