Individual provider Active NPI

Demetri Manuel Economedes, D.O.

  • Orthopaedic Surgery Physician
  • Cary, NC
National Provider Identifier
1427225648
Registry record updated May 7, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
2013-00848 Issued in NC
Practice address
1120 SE Cary Pkwy
Ste. 100
Cary, NC 27518-7413
Phone
(919) 467-4992
Fax
(919) 235-0134
NPI assigned
May 15, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 7, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X 201300848 NC
Orthopaedic Surgery Physician 207X00000X OT012066 PA
Orthopaedic Surgery Physician 207X00000X 2013-00848 NC Primary

Addresses

Primary practice location

1120 SE Cary Pkwy
Ste. 100
Cary, NC 27518-7413

Mailing address

2000 Perimeter Park Dr Ste 200
Morrisville, NC 27560-8442

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address deconomedes211340@direct.UNC.nchie.net Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20130923000473 NC Practitioner - Orthopedic Surgery 9638326895 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Philadelphia College of Osteopathic Medicine, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Select Physical Therapy Holdings IncGroup PAC ID 9537076401, shared by 76 NPIs, 1,992 clinicians

Practice addresses (Care Compare)

101 Lattner CT
Morrisville, NC 27560-9584

101 SW Cary Pkwy
Cary, NC 27511-5562
Phone (919) 467-7678

1120 SE Cary Pkwy
Cary, NC 27518-7413

Hospital & facility affiliations

  • Medi Home Health Agency Home health agency, Raleigh, NC, CCN 347237
  • Wakemed Home Health Home health agency, Raleigh, NC, CCN 347179
  • Centerwell Home Health Home health agency, Raleigh, NC, CCN 347178
  • Unc Home Health Home health agency, Chapel Hill, NC, CCN 347223
  • Amedisys Home Health Home health agency, Durham, NC, CCN 347110
  • Rex Hospital Hospital, Raleigh, NC, CCN 340114
  • Wakemed, Raleigh Campus Hospital, Raleigh, NC, CCN 340069

Merit-based Incentive Payment System (MIPS)

Final score
86.41 of 100Reported as group
Quality
76.58
Promoting interoperability
100
Improvement activities
40
Cost
78.13

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hip replacement44
Knee replacement48

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
201300848NCMDSpecialist
2013-00848NCMDOrthopaedic Surgery Physician
OT012066PAMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Unc Physicians Group Practices II, LLC Single Specialty CurrentSince Feb 3, 2021 Accepting new patients
Midwest Orthopaedics at Rush, LLC Single Specialty Past Accepting new patients

Locations

1110 SE Cary Pkwy
Ste 103
Cary, NC 27518
Phone (919) 297-0000

1120 SE Cary Pkwy
Ste 100
Cary, NC 27518
Phone (919) 467-4992

600A Village Walk Dr
Holly Springs, NC 27540
Phone (919) 285-2157

2000 Perimeter Park Dr
Ste 200
Morrisville, NC 27560
Phone (800) 594-8624

101 Lattner Ct
Ste 200
Morrisville, NC 27560
Phone (919) 238-2400

101 Lattner Ct
Ste 300
Morrisville, NC 27560
Phone (919) 238-2400

Interoperability endpoints

  • Direct secure messaging: deconomedes211340@direct.unc.nchie.net
  • Direct secure messaging: demetri.economedes@1100.chartlogic.direct-ci.com

Organizations & group practices 2

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 8

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": "1210809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620345600000",
    "number": "1427225648",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 PERIMETER PARK DR STE 200",
            "city": "MORRISVILLE",
            "state": "NC",
            "postal_code": "275608442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1120 SE CARY PKWY",
            "address_2": "STE. 100",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275187413",
            "telephone_number": "919-467-4992",
            "fax_number": "919-235-0134"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ECONOMEDES",
        "first_name": "DEMETRI",
        "middle_name": "MANUEL",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-05-15",
        "last_updated": "2021-05-07",
        "certification_date": "2021-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "NC",
            "license": "201300848",
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "PA",
            "license": "OT012066",
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "NC",
            "license": "2013-00848",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "deconomedes211340@direct.UNC.nchie.net",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CDA/CCD/TXT",
            "address_1": "1120 SE Cary Pkwy",
            "address_2": "Ste. 100",
            "city": "Cary",
            "state": "NC",
            "country_code": "US",
            "postal_code": "275187413",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Cary, NC

Sources for this page

Verify at the official NPI Registry.