Individual provider Active NPI

Demitrio James Camarena, M.D.

  • Anesthesiology Physician
  • Brighton, MA
National Provider Identifier
1215315809
Registry record updated Aug 23, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
268684 Issued in MA
Practice address
736 Cambridge Street, #213
St. Elizabeth'S Medical Center, Anesthesiology
Brighton, MA 02135
Phone
(617) 789-2777
NPI assigned
May 14, 2015
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 23, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 268684 MA Primary

Addresses

Primary practice location

736 Cambridge Street, #213
St. Elizabeth'S Medical Center, Anesthesiology
Brighton, MA 02135

Mailing address

4 Langley Rd
Apt. 2
Brighton, MA 02135-3011
Phone (303) 489-2540

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231120000468 NV Practitioner - Anesthesiology 9830427343 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Loma Linda University School of Medicine, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Metcalf Tiller and Chen IncGroup PAC ID 5698093086, 32 clinicians
Reno Tahoe Anesthesia Weaver PCGroup PAC ID 3971930256, 41 clinicians

Practice addresses (Care Compare)

235 W 6TH St
Reno, NV 89503-4548
Phone (775) 770-3000

625 Innovation Dr
Reno, NV 89511-2215
Phone (775) 799-7320

Hospital & facility affiliations

  • Northern Nevada Medical Center Hospital, Sparks, NV, CCN 290032
  • Saint Mary'S Regional Medical Center Hospital, Reno, NV, CCN 290009

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
268684MAMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Boulder Valley Anesthesiology, PLLC Anesthesiology CurrentSince Apr 9, 2021 Accepting new patients
Glenwood Anesthesia Professionals, PC Anesthesiology CurrentSince Apr 1, 2022 Accepting new patients
Metcalf, Tiller & Chen, Inc. Anesthesiology CurrentSince Oct 1, 2023 Accepting new patients
Reno Tahoe Anesthesia Weaver PC Anesthesiology CurrentSince Oct 1, 2023 Accepting new patients

Locations

1801 W Olympic Blvd
#2152
Pasadena, CA 91199

4747 Arapahoe Ave
Boulder, CO 80303
Phone (303) 415-7000

4450 Arapahoe Ave
Ste 100
Boulder, CO 80303
Phone (303) 415-2532

1100 Balsam Ave
Boulder, CO 80304
Phone (303) 415-7000

1906 Blake Ave
Glenwood Springs, CO 81601
Phone (970) 384-7033

10170 Church Ranch Way
Westminster, CO 80021
Phone (303) 328-3400

3475 Gs Richards Blvd
#110
Carson City, NV 89703
Phone (775) 841-2000

5560 Kietzke Ln
Reno, NV 89511
Phone (775) 284-1612

18653 Wedge Pkwy
Reno, NV 89511
Phone (775) 323-7500

6630 S McCarran Blvd
Ste C25
Reno, NV 89509
Phone (775) 827-5555

235 W 6th St
Reno, NV 89503
Phone (775) 746-3202

300 E 2nd St
Ste 1230
Reno, NV 89501
Phone (775) 260-2471

10463 Double R Blvd
Ste 200
Reno, NV 89521
Phone (775) 562-2121

6500 Longley Ln
Reno, NV 89511
Phone (775) 331-7000

500 Damonte Ranch Pkwy
Ste 703
Reno, NV 89521
Phone (775) 398-4600

2375 E Prater Way
Sparks, NV 89434
Phone (775) 331-7000

Organizations & group practices 4

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.

Hospital & facility affiliations 9

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": "1431561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1471910400000",
    "number": "1215315809",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 LANGLEY RD",
            "address_2": "APT. 2",
            "city": "BRIGHTON",
            "state": "MA",
            "postal_code": "021353011",
            "telephone_number": "303-489-2540"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "736 CAMBRIDGE STREET, #213",
            "address_2": "ST. ELIZABETH'S MEDICAL CENTER, ANESTHESIOLOGY",
            "city": "BRIGHTON",
            "state": "MA",
            "postal_code": "02135",
            "telephone_number": "617-789-2777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMARENA",
        "first_name": "DEMITRIO",
        "middle_name": "JAMES",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-05-14",
        "last_updated": "2016-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "MA",
            "license": "268684",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brighton, MA

Sources for this page

Verify at the official NPI Registry.