Active NPI
Deborah Ann Demarta, M.D., F.A.C.S.
- Colon & Rectal Surgery Physician
- Stuart, FL
National Provider Identifier
1467612473
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Colon & Rectal Surgery Physician
- License
- ME69555
- 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, 2021
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
- 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.
-
- Specialist
- Stuart, FL
- NPI 1013157163
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2021; 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; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.