Active NPI
Frank D Demery, MD
- Internal Medicine Physician
- Tampa, FL
National Provider Identifier
1376592956
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- ME82542
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 456279 | Other | FL | AETNA-PEDIATRICS |
| 916506 | Other | FL | USA HEALTH NET |
| 267055100 | Medicaid | FL | |
| 188446 | Other | FL | A,MERIGROUP |
| 224476 | Other | FL | WELLCARE |
| 224476 | Other | FL | HEALTHEASE |
| 22476 | Other | FL | STAYWELL |
| 06600 | Other | FL | UNIVERSAL HEALTH CARE |
| 290718 | Other | FL | AVMED |
| 10003701 | Other | FL | CITRUS HEALTH |
| 2107757 | Other | FL | FIRST HEALTH NETWORK |
| 360122 | Other | FL | AETNA-ADULT |
| 5827779 | Other | FL | CIGNA |
| 0410089 | Other | FL | MEDICARE COMPLETE |
| 81200 | Other | FL | BLUE 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
Enrollment records 1
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
Practice addresses (Care Compare)
10111 Wilsky Blvd
Tampa, FL 33625-5837
Phone (813) 961-2222
Hospital & facility affiliations
- St Josephs Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME87304 | FL | MD | Pediatric Adolescent Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Internal Medicine & Pediatrics of Tampa Bay PA | Internal Medicine | Current | 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.
-
- Internal Medicine Physician
- Tampa, FL
- NPI 1508816786
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Tampa, FL
- NPI 1346519816
-
- General Acute Care Hospital
- Tampa, FL
- NPI 1881632818
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2012; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.