Individual provider Active NPI

Deborah Ann Demarta, M.D., F.A.C.S.

  • Colon & Rectal Surgery Physician
  • Stuart, FL
National Provider Identifier
1467612473
Registry record updated May 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Colon & Rectal Surgery PhysicianTaxonomy code 208C00000X
License
ME69555 Issued in FL
Practice address
218 SW Atlanta Ave
Stuart, FL 34994-2034
Phone
(772) 539-9556
Fax
(772) 539-0175
NPI assigned
Jun 12, 2008
Last updated
May 28, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 28, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X ME69555 FL
Colon & Rectal Surgery Physician 208C00000X ME69555 FL Primary

Addresses

Primary practice location

218 SW Atlanta Ave
Stuart, FL 34994-2034

Mailing address

218 SW Atlanta Ave
Stuart, FL 34994-2034
Phone (772) 569-9556

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective Jan 1, 2018 through Jan 1, 2028

National Provider Directory

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

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1213228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1622160000000",
    "number": "1467612473",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "218 SW ATLANTA AVE",
            "city": "STUART",
            "state": "FL",
            "postal_code": "349942034",
            "telephone_number": "772-569-9556",
            "fax_number": "772-539-0175"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "218 SW ATLANTA AVE",
            "city": "STUART",
            "state": "FL",
            "postal_code": "349942034",
            "telephone_number": "772-539-9556",
            "fax_number": "772-539-0175"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEMARTA",
        "first_name": "DEBORAH",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "M.D., F.A.C.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-06-12",
        "last_updated": "2021-05-28",
        "certification_date": "2021-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "FL",
            "license": "ME69555",
            "primary": false
        },
        {
            "code": "208C00000X",
            "taxonomy_group": "",
            "desc": "Colon & Rectal Surgery",
            "state": "FL",
            "license": "ME69555",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stuart, FL

Sources for this page

Verify at the official NPI Registry.