Individual provider Active NPI

William Demora

  • Physician Assistant
  • Ambler, PA
National Provider Identifier
1447629944
Registry record updated May 28, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
MA057767 Issued in PA
Practice address
511 Lincoln Dr W
Ambler, PA 19002-3812
Phone
(717) 419-9402
NPI assigned
Sep 15, 2015
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 28, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X MA057767 PA Primary

Addresses

Primary practice location

511 Lincoln Dr W
Ambler, PA 19002-3812

Mailing address

511 Lincoln Dr W
Ambler, PA 19002-3812
Phone (717) 419-9402

Other identifiers 1

IdentifierTypeStateIssuer
$$$$$$$$$OtherPASOCIAL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220527002244 PA Practitioner - Physician Assistant 7113305475 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
American Current Care PAGroup PAC ID 9739260019, 545 clinicians

Practice addresses (Care Compare)

113 Butler Ave
Lancaster, PA 17601-6313
Phone (717) 391-3087

15 Freeport Rd
Suite 100
Pittsburgh, PA 15215-2990
Phone (412) 784-1551

241 Rohrerstown Rd
Suite 200
Lancaster, PA 17603-2230
Phone (717) 431-1770

4200 Union Deposit Rd
Harrisburg, PA 17111-2801
Phone (717) 558-6708

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
American Current Care P.a . CurrentSince May 19, 2022 Accepting new patients
American Current Care P.a. CurrentSince May 19, 2022 Accepting new patients

Locations

2010 Levick St
Philadelphia, PA 19149
Phone (215) 537-4755

15 Freeport Rd
Ste 100
Pittsburgh, PA 15215
Phone (412) 784-1551

5080 Spectrum Dr
Ste 1200W
Addison, TX 75001

Organizations & group practices 3

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1442275200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1590624000000",
    "number": "1447629944",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "511 LINCOLN DR W",
            "city": "AMBLER",
            "state": "PA",
            "postal_code": "190023812",
            "telephone_number": "717-419-9402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "511 LINCOLN DR W",
            "city": "AMBLER",
            "state": "PA",
            "postal_code": "190023812",
            "telephone_number": "717-419-9402"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEMORA",
        "first_name": "WILLIAM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-09-15",
        "last_updated": "2020-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PA",
            "license": "MA057767",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SOCIAL",
            "identifier": "$$$$$$$$$",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ambler, PA

Sources for this page

Verify at the official NPI Registry.