NPIMap

Individual provider Active NPI

Richard D Demopoulos, MD

  • Surgery Physician
  • Fairhaven, MA
National Provider Identifier
1295794030
Registry record updated Feb 10, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
79175 Issued in MA
Practice address
208 Mill Road
2ND Floor
Fairhaven, MA 02719-5208
Phone
(508) 973-2204
Fax
(508) 973-2640
NPI assigned
Mar 21, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 79175 MA Primary

Addresses

Primary practice location

208 Mill Road
2ND Floor
Fairhaven, MA 02719-5208

Mailing address

200 Mill Road
Suite 180
Fairhaven, MA 02719-5252
Phone (508) 973-2000

Other identifiers 1

IdentifierTypeStateIssuer
110055380AMedicaidMA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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
I20050608001014 MA Practitioner - General Surgery 3173514601 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
JS Weill Medical College, Cornell University, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sturdy Health Inc 191 clinicians

Practice addresses (Care Compare)

100 Oneil Blvd
Attleboro, MA 02703-4218
Phone (508) 342-1105

Hospital & facility affiliations

  • Sturdy Memorial Hospital Hospital, Attleboro, MA, CCN 220008

Merit-based Incentive Payment System (MIPS)

Final score
83.71 of 100Reported as group
Quality
65.25
Promoting interoperability
100
Improvement activities
40
Cost
71

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hip replacement1-10
Colonoscopy1-10
Hernia repair - groin (open)1-10
Hernia repair (minimally invasive)1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Sturdy Health Inc Surgery CurrentSince Apr 28, 2023 Accepting new patients
Sturdy Health, Inc. CurrentSince Apr 28, 2023 Accepting new patients
New Bedford Medical Associates PC Past Accepting new patients
Sturdy Health Inc Past Accepting new patients
Southcoast Physicians Group, Inc. Past Accepting new patients
Southcoast Physicians Group, Inc. Surgery Past Accepting new patients

Locations

28 Sturdy St
Attleboro, MA 02703
Phone (508) 226-7788

20 Oneil Blvd
Attleboro, MA 02703
Phone (508) 222-2021

100 Oneil Blvd
Attleboro, MA 02703
Phone (508) 342-1101

Interoperability endpoints

  • Direct secure messaging: richard.demopoulos.1@2017.direct.athenahealth.com

Organizations & group practices 20

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.

View all 20

Hospital & facility affiliations 1

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": "1142899200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1455062400000",
    "number": "1295794030",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 MILL ROAD",
            "address_2": "SUITE 180",
            "city": "FAIRHAVEN",
            "state": "MA",
            "postal_code": "027195252",
            "telephone_number": "508-973-2000",
            "fax_number": "508-973-2001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "208 MILL ROAD",
            "address_2": "2ND FLOOR",
            "city": "FAIRHAVEN",
            "state": "MA",
            "postal_code": "027195208",
            "telephone_number": "508-973-2204",
            "fax_number": "508-973-2640"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEMOPOULOS",
        "first_name": "RICHARD",
        "middle_name": "D",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-21",
        "last_updated": "2016-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "MA",
            "license": "79175",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "110055380A",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairhaven, MA

Sources for this page

Verify at the official NPI Registry.