Individual provider Active NPI

Megan Ann Demariano, MD

  • Family Medicine Physician
  • Raleigh, NC
National Provider Identifier
1578824686
Registry record updated Feb 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
2015-01155 Issued in NC
Practice address
3416 Poole Rd Ste 120
Raleigh, NC 27610-2918
Phone
(919) 902-7366
NPI assigned
Jun 5, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 21, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X 182661 NC
Family Medicine Physician 207Q00000X 2015-01155 NC Primary

Addresses

Primary practice location

3416 Poole Rd Ste 120
Raleigh, NC 27610-2918

Mailing address

PO Box 746724
Atlanta, GA 30374-6724
Phone (312) 733-9730

Other practice location 1

590 Manning Dr
Department of Family Medicine, CB# 7595
Chapel Hill, NC 27599-7595
Phone (919) 966-3456

Other practice location 2

781 Avent Ferry Rd Ste 310
Holly Springs, NC 27540-7776
Phone (919) 552-8911

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address mdemariano17194@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
I20161019002756 NC Practitioner - Hospice/Palliative CarePractitioner - Family Practice 4789903246 Reassigns benefits to 3 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
182661NCMDStudent in an Organized Health Care Education/Training Program

Practice roles

OrganizationSpecialtyStatusNew patients
Osh-Mi Physicians Group PC Family Medicine CurrentSince Apr 1, 2024 Accepting new patients
Osh Mi Physicians Group, PC CurrentSince Apr 1, 2024 Accepting new patients
Hospice of Wake County, Inc. CurrentSince Jul 24, 2016 Accepting new patients
Unc Physicians Network LLC Family Medicine Current Accepting new patients
Unc Physicians Network LLC Family Medicine CurrentSince Sep 22, 2021 Accepting new patients
Hospice of Wake County, Inc. Family Medicine Current Accepting new patients

Locations

940 Martin Luther King Jr Blvd
Chapel Hill, NC 27514
Phone (919) 942-5123

3250 Freedom Dr
Charlotte, NC 28208
Phone (704) 394-0118

781 Avent Ferry Rd
Ste 310
Holly Springs, NC 27540
Phone (919) 552-8911

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

250 Hospice Cir
Raleigh, NC 27607
Phone (919) 828-0890

3416 Poole Rd
Ste 120
Raleigh, NC 27610
Phone (919) 902-7366

Interoperability endpoints

  • Direct secure messaging: mdemariano17194@direct.unc.nchie.net

Organizations & group practices 6

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": "1338854400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708473600000",
    "number": "1578824686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 746724",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303746724",
            "telephone_number": "312-733-9730"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3416 POOLE RD STE 120",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276102918",
            "telephone_number": "919-902-7366"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "590 Manning Dr",
            "address_2": "Department of Family Medicine, CB# 7595",
            "address_purpose": "LOCATION",
            "city": "Chapel Hill",
            "state": "NC",
            "postal_code": "275997595",
            "country_code": "US",
            "telephone_number": "919-966-3456",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "781 Avent Ferry Rd Ste 310",
            "address_purpose": "LOCATION",
            "city": "Holly Springs",
            "state": "NC",
            "postal_code": "275407776",
            "country_code": "US",
            "telephone_number": "919-552-8911",
            "fax_number": "919-552-8955",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DEMARIANO",
        "first_name": "MEGAN",
        "middle_name": "ANN",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-06-05",
        "last_updated": "2024-02-21",
        "certification_date": "2024-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NC",
            "license": "182661",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NC",
            "license": "2015-01155",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mdemariano17194@direct.UNC.nchie.net",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CDA/CCD/TXT",
            "address_1": "781 Avent Ferry Rd Ste 310",
            "city": "Holly Springs",
            "state": "NC",
            "country_code": "US",
            "postal_code": "275407776",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Raleigh, NC

Sources for this page

Verify at the official NPI Registry.