Romel Tavares Demoraes, MD PA

Primary specialty

Colon & Rectal Surgery PhysicianTaxonomy code 208C00000X

License

ME30576 Issued in FL

Practice address

715 Pinellas St
Clearwater, FL 33756-3426

Phone

(727) 441-8618

Fax

(727) 443-4798

NPI assigned

Aug 30, 2005

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in FL

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine, Physician Assistant

State licenses

Practice roles

Interoperability endpoints

• FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

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.

• Lourdes T Santiago M D P a

  • Colon & Rectal Surgery Physician
  • Clearwater, FL
  • NPI 1932385200
  NPD (past)

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

{
    "created_epoch": "1125360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1260748800000",
    "number": "1609869155",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "715 PINELLAS ST",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337563426",
            "telephone_number": "727-441-8618",
            "fax_number": "727-443-4798"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "715 PINELLAS ST",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337563426",
            "telephone_number": "727-441-8618",
            "fax_number": "727-443-4798"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEMORAES",
        "first_name": "ROMEL",
        "middle_name": "TAVARES",
        "name_prefix": "Mr.",
        "credential": "MD  PA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-08-30",
        "last_updated": "2009-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208C00000X",
            "taxonomy_group": "",
            "desc": "Colon & Rectal Surgery",
            "state": "FL",
            "license": "ME30576",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "0582740001",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "4409393",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Delta Infinity Counseling Services
• Regina L Demeo, OTR
• Gertrude Demetreus Allen
• Andrew Demmitt, P.A.
• Andreas Demopoulos, CSFA
• Ashley Dempsey
• Sherill Denison, MA, LMHC
• Rachel Lynn Dennany, PT, DPT
• Brandon Kirk Dennis
• Debra Christine Dent, PT

• Colon & Rectal Surgery Physician in Clearwater, FL
• Providers in Clearwater, FL by specialty
• Colon & Rectal Surgery Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2009; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.