NPIMap

Individual provider Active NPI

Megan C Demott, MD

  • Emergency Medicine Physician
  • La Jolla, CA
National Provider Identifier
1174507370
Registry record updated Dec 9, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
A96269 Issued in CA
Practice address
5984 La Jolla Corona Dr
La Jolla, CA 92037-7447
Phone
(503) 490-8067
NPI assigned
Dec 1, 2005
Last updated
Dec 9, 2011By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X A96269 CA Primary

Addresses

Primary practice location

5984 La Jolla Corona Dr
La Jolla, CA 92037-7447

Mailing address

5984 La Jolla Corona Dr
La Jolla, CA 92037-7447
Phone (503) 490-8067

Other identifiers 2

IdentifierTypeStateIssuer
1174507370MedicaidCA
00A962690MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070221000406 CA Practitioner - Emergency MedicinePractitioner - Medical Toxicology 5193760148 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency MedicineAlso: Medical Toxicology
Education
Johns Hopkins University School of Medicine, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Emergency Services Medical Corporation CoronadoGroup PAC ID 3779904438, 26 clinicians

Practice addresses (Care Compare)

250 Prospect PL
Coronado, CA 92118-1943
Phone (858) 759-4765

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
96.69 of 100Reported as group
Quality
90
Improvement activities
40
Cost
78.43

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A96269CAMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Scripps Health Current Accepting new patients
Cep America - California Emergency Medicine Current Accepting new patients
Emergency Services Medical Corporation Coronado Emergency Medicine CurrentSince Aug 1, 2020 Accepting new patients
Emergency Services Medical Corporation Emergency Medicine CurrentSince Nov 5, 2019 Accepting new patients
La Jolla Observation Medicine Emergency Medicine CurrentSince Aug 12, 2018 Accepting new patients
Grossmont Emergency Medical Group Emergency Medicine Past Accepting new patients

Locations

751 Medical Center Ct
#1182
Chula Vista, CA 91911

9888 Genesee Ave
La Jolla, CA 92037
Phone (858) 457-4123

5555 Grossmont Center Dr
La Mesa, CA 91942
Phone (619) 465-0711

1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423

250 Prospect Pl
San Diego, CA 92118
Phone (619) 522-3600

7901 Frost St
San Diego, CA 92123
Phone (619) 541-3400

Interoperability endpoints

  • Direct secure messaging: mdemott174963@scrippshlth.medalliesdirect.net

Organizations & group practices 6

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1133395200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1323388800000",
    "number": "1174507370",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5984 LA JOLLA CORONA DR",
            "city": "LA JOLLA",
            "state": "CA",
            "postal_code": "920377447",
            "telephone_number": "503-490-8067"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5984 LA JOLLA CORONA DR",
            "city": "LA JOLLA",
            "state": "CA",
            "postal_code": "920377447",
            "telephone_number": "503-490-8067"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEMOTT",
        "first_name": "MEGAN",
        "middle_name": "C",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-12-01",
        "last_updated": "2011-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "CA",
            "license": "A96269",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1174507370",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A962690",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in La Jolla, CA

Sources for this page

Verify at the official NPI Registry.