Active NPI
Matthew Demas, PA-C
- Physician Assistant
- Las Vegas, NV
National Provider Identifier
1316453285
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA0383
- Practice address
- 4750 W Oakey Blvd Ste 2a
Las Vegas, NV 89102-1535 - Phone
- (702) 877-5199
- Fax
- (702) 259-0128
- NPI assigned
- Dec 14, 2017
- Last updated
- Jan 24, 2018
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA0383 | NV | Primary |
Addresses
Primary practice location
4750 W Oakey Blvd Ste 2a
Las Vegas, NV 89102-1535
Mailing address
PO Box 35380
Las Vegas, NV 89133-5380
Phone (702) 877-5199
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OR
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20231010002848 | OR | Order and Referring Only - Physician Assistant | 0345509741 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1513209600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1516752000000",
"number": "1316453285",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 35380",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891335380",
"telephone_number": "702-877-5199",
"fax_number": "702-259-0128"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4750 W OAKEY BLVD STE 2A",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891021535",
"telephone_number": "702-877-5199",
"fax_number": "702-259-0128"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEMAS",
"first_name": "MATTHEW",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-12-14",
"last_updated": "2018-01-24",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NV",
"license": "PA0383",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Las Vegas, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2018; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.