Individual provider Active NPI

Lakeisha Nicole Demerson, MD

  • Obstetrics & Gynecology Physician
  • Dallas, TX
National Provider Identifier
1346479318
Registry record updated Feb 26, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
539989 Issued in TX
Practice address
5201 Harry Hines Blvd
House Staff & Gme
Dallas, TX 75235-7708
Phone
(214) 590-8058
NPI assigned
Jul 10, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 26, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Obstetrics & Gynecology Physician 207V00000X 539989 TX Primary

Addresses

Primary practice location

5201 Harry Hines Blvd
House Staff & Gme
Dallas, TX 75235-7708

Mailing address

PO Box 660599
Dallas, TX 75266-0599

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20130705000339 TX Practitioner - Obstetrics/Gynecology 7810137338 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
University of Texas Southwestern Medical School at Dallas, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bay Area Obstetrics and Gynecology,PAGroup PAC ID 8022068246, 4 clinicians

Practice addresses (Care Compare)

17 Professional Park Dr
Webster, TX 77598-4123
Phone 2813329511150

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of the uterus1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
539989TXMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Seton Family of Doctors CurrentSince Jan 6, 2026 Accepting new patients
Obhg Texas Holdings, P.a. Obstetrics & Gynecology CurrentSince Feb 1, 2025 Accepting new patients
Bay Area Obstetrics and Gynecology,PA CurrentSince Jul 15, 2013 Accepting new patients
Pediatrix Medical Group of Texas Billing, Inc. Obstetrics & Gynecology CurrentSince May 15, 2020 Accepting new patients
Seton Family of Doctors Obstetrics & Gynecology CurrentSince Jan 6, 2026 Accepting new patients
HCA Houston OB Hospitalist, PLLC Obstetrics & Gynecology CurrentSince Sep 3, 2024 Accepting new patients
Utmb Faculty Group Practice Obstetrics & Gynecology Past Accepting new patients
Chca Clear Lake LP Past Accepting new patients

Locations

2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426

1600 Wallace Blvd
Amarillo, TX 79106
Phone (806) 212-2000

1201 W 38th St
Austin, TX 78705
Phone (512) 324-1058

1400 N Interstate 35
Ste 300
Austin, TX 78701
Phone (512) 324-8300

12221 N Mopac Expy
Austin, TX 78758
Phone (512) 901-2530

5950 Saratoga Blvd
Corpus Christi, TX 78414
Phone (321) 917-9263

7101 S Padre Island Dr
Corpus Christi, TX 78412
Phone (361) 761-1400

1400 8th Ave
Ft Worth, TX 76104
Phone (817) 922-1559

7600 Beechnut St
Houston, TX 77074
Phone (713) 456-5000

12141 Richmond Ave
Houston, TX 77082
Phone (281) 558-3444

7600 Fannin St
Houston, TX 77054
Phone (713) 791-7115

6001 Kyle Pkwy
Kyle, TX 78640
Phone (512) 504-5000

11800 Astoria Blvd
Pearland, TX 77089
Phone (281) 929-6100

201 Seton Pkwy
Round Rock, TX 78665
Phone (512) 324-1010

17201 Interstate 45 S
The Woodlands, TX 77385
Phone (936) 270-2000

17 Professional Park Dr
Webster, TX 77598
Phone (281) 332-9511

Interoperability endpoints

  • Direct secure messaging: lakeisha.demerson.1@25583.direct.athenahealth.com

Organizations & group practices 9

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 7

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": "1247184000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1361836800000",
    "number": "1346479318",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 660599",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752660599"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5201 HARRY HINES BLVD",
            "address_2": "HOUSE STAFF & GME",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752357708",
            "telephone_number": "214-590-8058"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEMERSON",
        "first_name": "LAKEISHA",
        "middle_name": "NICOLE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-07-10",
        "last_updated": "2013-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "TX",
            "license": "539989",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.