Individual provider Active NPI

Frank D Demery, MD

  • Internal Medicine Physician
  • Tampa, FL
National Provider Identifier
1376592956
Registry record updated Nov 15, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME82542 Issued in FL
Practice address
10111 Wilsky Blvd
Tampa, FL 33625
Phone
(813) 961-2222
Fax
(813) 961-2220
NPI assigned
May 9, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 15, 2012

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X ME82542 FL Primary
Pediatric Adolescent Medicine Physician 2080A0000X ME87304 FL
Pediatrics Physician 208000000X ME82542 FL

Addresses

Primary practice location

10111 Wilsky Blvd
Tampa, FL 33625

Mailing address

10111 Wilsky Blvd
Tampa, FL 33625
Phone (813) 961-2222

Other identifiers 15

IdentifierTypeStateIssuer
456279OtherFLAETNA-PEDIATRICS
916506OtherFLUSA HEALTH NET
267055100MedicaidFL
188446OtherFLA,MERIGROUP
224476OtherFLWELLCARE
224476OtherFLHEALTHEASE
22476OtherFLSTAYWELL
06600OtherFLUNIVERSAL HEALTH CARE
290718OtherFLAVMED
10003701OtherFLCITRUS HEALTH
2107757OtherFLFIRST HEALTH NETWORK
360122OtherFLAETNA-ADULT
5827779OtherFLCIGNA
0410089OtherFLMEDICARE COMPLETE
81200OtherFLBLUE CROSS/BLUE SHIELD FL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20070328000522 FL Practitioner - Internal Medicine 7719081942 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of Florida College of Medicine, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Internal Medicine and Pediatrics of Tampa Bay PAGroup PAC ID 1951309970, 4 clinicians

Practice addresses (Care Compare)

10111 Wilsky Blvd
Tampa, FL 33625-5837
Phone (813) 961-2222

Hospital & facility affiliations

  • St Josephs Hospital Hospital, Tampa, FL, CCN 100075

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME87304FLMDPediatric Adolescent Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Internal Medicine & Pediatrics of Tampa Bay PA Internal Medicine CurrentSince Apr 30, 2003 Accepting new patients

Locations

10111 Wilsky Blvd
Tampa, FL 33625
Phone (813) 792-1113

Organizations & group practices 1

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 2

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": "1147132800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1352937600000",
    "number": "1376592956",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10111 WILSKY BLVD",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "33625",
            "telephone_number": "813-961-2222",
            "fax_number": "813-961-2220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10111 WILSKY BLVD",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "33625",
            "telephone_number": "813-961-2222",
            "fax_number": "813-961-2220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEMERY",
        "first_name": "FRANK",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-09",
        "last_updated": "2012-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME82542",
            "primary": true
        },
        {
            "code": "2080A0000X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Adolescent Medicine",
            "state": "FL",
            "license": "ME87304",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "FL",
            "license": "ME82542",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA-PEDIATRICS",
            "identifier": "456279",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "USA HEALTH NET",
            "identifier": "916506",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "267055100",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "A,MERIGROUP",
            "identifier": "188446",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLCARE",
            "identifier": "224476",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHEASE",
            "identifier": "224476",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STAYWELL",
            "identifier": "22476",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNIVERSAL HEALTH CARE",
            "identifier": "06600",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AVMED",
            "identifier": "290718",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CITRUS HEALTH",
            "identifier": "10003701",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIRST HEALTH NETWORK",
            "identifier": "2107757",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA-ADULT",
            "identifier": "360122",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "5827779",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE COMPLETE",
            "identifier": "0410089",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/BLUE SHIELD FL",
            "identifier": "81200",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

Verify at the official NPI Registry.