Active NPI
Rui G Demelo, D.P.M.
- Primary Podiatric Medicine Podiatrist
- Stamford, CT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Podiatric Medicine Podiatrist
- License
- 000783
- Practice address
- 1234 Summer St Ste 202
Stamford, CT 06905-5510 - Phone
- (203) 323-1171
- Fax
- (203) 323-4649
- NPI assigned
- Oct 7, 2005
- Last updated
- Dec 7, 2020
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Primary Podiatric Medicine Podiatrist | 213EP1101X | 000783 | CT | Primary |
| Foot & Ankle Surgery Podiatrist | 213ES0103X | 000783 | CT |
Addresses
Primary practice location
1234 Summer St Ste 202
Stamford, CT 06905-5510
Mailing address
1234 Summer St Ste 202
Stamford, CT 06905-5510
Phone (203) 323-1171
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 030000783CT01 | Other | CT | BLUE CROSS |
| 95809 | Other | CT | AETNA |
| 2V4758 | Other | CT | HEALTHNET |
| P3064982 | Other | CT | OXFORD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CT
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Podiatry
- Education
- New York College of Podiatric Medicine, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1234 Summer St
Suite 202
Stamford, CT 06905-5510
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 1-10 |
| Removal of skin lesions | 68 |
| Removal of nail tissue | 529 |
| Removal or shaving of skin growth | 95 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 000783 | CT | MD | Foot & Ankle Surgery Podiatrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Stamford Podiatry Group PC | Primary Podiatric Medicine | Current | Accepting new patients |
| Stamford Podiatry Group PC | Primary Podiatric Medicine | Current | Accepting new patients |
Locations
1234 Summer St
Ste 202
Stamford, CT 06905
Phone (203) 323-1171
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.
-
- Primary Podiatric Medicine Podiatrist
- Stamford, CT
- NPI 1780736728
-
- Prosthetic/Orthotic Supplier
- Stamford, CT
- NPI 1376967273
Primary Podiatric Medicine
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Stamford, CT
- NPI 1356331425
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1128643200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1607299200000",
"number": "1184612855",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1234 SUMMER ST STE 202",
"city": "STAMFORD",
"state": "CT",
"postal_code": "069055510",
"telephone_number": "203-323-1171",
"fax_number": "203-323-4649"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1234 SUMMER ST STE 202",
"city": "STAMFORD",
"state": "CT",
"postal_code": "069055510",
"telephone_number": "203-323-1171",
"fax_number": "203-323-4649"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEMELO",
"first_name": "RUI",
"middle_name": "G",
"credential": "D.P.M.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-10-07",
"last_updated": "2020-12-07",
"certification_date": "2020-12-07",
"status": "A"
},
"taxonomies": [
{
"code": "213EP1101X",
"taxonomy_group": "",
"desc": "Podiatrist, Primary Podiatric Medicine",
"state": "CT",
"license": "000783",
"primary": true
},
{
"code": "213ES0103X",
"taxonomy_group": "",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": "CT",
"license": "000783",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "030000783CT01",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "95809",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHNET",
"identifier": "2V4758",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OXFORD",
"identifier": "P3064982",
"state": "CT"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Stamford, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2020; 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.