Active NPI
Pamela T Demnicki, MD
- Surgery Physician
- West Chester, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- MD060771L
- Practice address
- 915 Old Fern Hill Road
Building B, Suite 201
West Chester, PA 19380-3431 - Phone
- (610) 436-6696
- Fax
- (610) 430-6023
- NPI assigned
- Jul 8, 2005
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Surgery Physician | 208600000X | C10005645 | DE | |
| Surgery Physician | 208600000X | MD060771L | PA | Primary |
Addresses
Primary practice location
915 Old Fern Hill Road
Building B, Suite 201
West Chester, PA 19380-3431
Mailing address
915 Old Fern Hill Rd
Building B, Suite 201
West Chester, PA 19380-4269
Phone (610) 436-6696
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0000942301 | Medicaid | DE |
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: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- General Surgery
- Education
- Other, 1994
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
701 E Marshall St
West Chester, PA 19380-4412
777 Township Line Rd
Suite 200
Yardley, PA 19067-5564
Phone (215) 860-0775
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 11 |
| Hernia repair - groin (open) | 26 |
| Hernia repair (minimally invasive) | 35 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 1-10 |
| Removal of tissue | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C10005645 | DE | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Surgical Specialists, P.C. | Surgery | Current | Accepting new patients |
| Clinical Care Associates of the University of Pennsylvania Health | Current | Accepting new patients | |
| Clinical Care Associates of the University of Pennsylvania Health Syst | Surgery | Current | Accepting new patients |
| Clinical Care Associates of the University of Pennsylvania Health | Current | Accepting new patients | |
| Chester County Hospital | Past | Accepting new patients |
Locations
404 McFarlan Rd
Ste 101
Kennett Square, PA 19348
Phone (610) 925-3835
255 W Lancaster Ave
Ste 332
Paoli, PA 19301
Phone (610) 641-9011
915 Old Fern Hill Rd
Bldg D
West Chester, PA 19380
Phone (610) 235-4100
915 Old Fern Hill Rd
Bldg B
West Chester, PA 19380
Phone (610) 696-1230
915 Old Fern Hill Rd
Ste 201
West Chester, PA 19380
Phone (610) 436-6696
777 Township Line Rd
Ste 200
Yardley, PA 19067
Phone (215) 860-0775
Organizations & group practices 5
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
- Radnor, PA
- NPI 1972682995
-
- Psychologist
- West Chester, PA
- NPI 1649940107
-
- Hospitalist Physician
- Bala Cynwyd, PA
- NPI 1790737468
Surgery
-
- Vascular Surgery Physician
- Paoli, PA
- NPI 1780650465
-
- General Acute Care Hospital
- West Chester, PA
- NPI 1356333579
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- West Chester, PA
- NPI 1356333579
-
- General Acute Care Hospital
- Philadelphia, PA
- NPI 1851370910
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1120780800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1672876800000",
"number": "1528066032",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "915 OLD FERN HILL RD",
"address_2": "BUILDING B, SUITE 201",
"city": "WEST CHESTER",
"state": "PA",
"postal_code": "193804269",
"telephone_number": "610-436-6696",
"fax_number": "610-430-6023"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "915 OLD FERN HILL ROAD",
"address_2": "BUILDING B, SUITE 201",
"city": "WEST CHESTER",
"state": "PA",
"postal_code": "193803431",
"telephone_number": "610-436-6696",
"fax_number": "610-430-6023"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEMNICKI",
"first_name": "PAMELA",
"middle_name": "T",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-07-08",
"last_updated": "2023-01-05",
"certification_date": "2023-01-05",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "DE",
"license": "C10005645",
"primary": false
},
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "PA",
"license": "MD060771L",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0000942301",
"state": "DE"
}
],
"endpoints": [],
"other_names": []
}
Other providers in West Chester, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2023; 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.