NPIMap

Individual provider Active NPI

Nader M. Demeri

  • Internal Medicine Physician
  • Livonia, MI
National Provider Identifier
1255385944
Registry record updated Sep 26, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
4301082223 Issued in MI
Practice address
17940 Farmington Road
Ste. 140
Livonia, MI 48152-4444
Phone
(248) 423-2410
NPI assigned
May 19, 2006
Last updated
Sep 26, 2011By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 26, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 4301082223 MI Primary

Addresses

Primary practice location

17940 Farmington Road
Ste. 140
Livonia, MI 48152-4444

Mailing address

3601 W 13 Mile Road
400 FSC- PCS
Royal Oak, MI 48073-6769
Phone (248) 423-2410

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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
I20060901000390 MI Practitioner - Internal Medicine 2668476789 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Wayne State University School of Medicine, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
South Allen Medical Group PLLCGroup PAC ID 8022154251, 2 clinicians
VMD Primary Providers Eastern Michigan PCGroup PAC ID 9234480575, 63 clinicians

Practice addresses (Care Compare)

1545 Kingsway CT
Suite 200
Trenton, MI 48183-1931
Phone (734) 676-9800

422 N Ctr St
Main Center Family Medicine
Northville, MI 48167-1224
Phone (248) 248-1131

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
87.99 of 100Reported as group
Quality
100
Promoting interoperability
100
Improvement activities
40
Cost
59.96

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
South Allen Medical Group PLLC Internal Medicine CurrentSince Sep 1, 2009 Accepting new patients
VMD Primary Providers Eastern Michigan, PC Internal Medicine CurrentSince Oct 1, 2025 Accepting new patients

Locations

422 N Center St
Northville, MI 48167
Phone (248) 348-1131

39475 Lewis Dr
Ste 130
Novi, MI 48377
Phone (248) 374-0502

1545 Kingsway Ct
Ste 200
Trenton, MI 48183
Phone (734) 675-0808

22673 Allen Rd
Ste 300
Woodhaven, MI 48183
Phone (734) 676-9800

Interoperability endpoints

  • Direct secure messaging: nader.demeri.1@21803.direct.athenahealth.com

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.

Hospital & facility affiliations 16

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

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1147996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1316995200000",
    "number": "1255385944",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3601 W 13 MILE ROAD",
            "address_2": "400 FSC- PCS",
            "city": "ROYAL OAK",
            "state": "MI",
            "postal_code": "480736769",
            "telephone_number": "248-423-2410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17940 FARMINGTON ROAD",
            "address_2": "STE. 140",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481524444",
            "telephone_number": "248-423-2410"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEMERI",
        "first_name": "NADER",
        "middle_name": "M.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-19",
        "last_updated": "2011-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "4301082223",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Livonia, MI

Sources for this page

Verify at the official NPI Registry.