Peter T Demos, M.D.

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

58416 Issued in MA

Practice address

125 Liberty St
Ste 403
Springfield, MA 01103-1109

Phone

(413) 739-6611

NPI assigned

Jul 22, 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 3

Medicare fee-for-service enrollment

Enrolled in MA

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

Specialty

Dermatology

Education

University of Connecticut School of Medicine, 1980

Medicare assignment

May accept Medicare assignment

Group practices

Demos Dermatology LLCGroup PAC ID 5890169882, 5 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: peter.demos@3466.securemail.prognocis.com

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.

• Demos Dermatology, LLC

  • Dermatology Physician
  • West Springfield, MA
  • NPI 1730804634
  Medicare reassignment Care Compare group NPD
• Peter T Demos MD

  • Dermatology Physician
  • Springfield, MA
  • NPI 1669090445
  NPD

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

{
    "created_epoch": "1121990400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1640390400000",
    "number": "1619977402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 LIBERTY ST",
            "address_2": "STE 403",
            "city": "SPRINGFIELD",
            "state": "MA",
            "postal_code": "011031109",
            "telephone_number": "413-739-6611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 LIBERTY ST",
            "address_2": "STE 403",
            "city": "SPRINGFIELD",
            "state": "MA",
            "postal_code": "011031109",
            "telephone_number": "413-739-6611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEMOS",
        "first_name": "PETER",
        "middle_name": "T",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-07-22",
        "last_updated": "2021-12-25",
        "certification_date": "2021-12-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "MA",
            "license": "58416",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PROVIDER NUMBER",
            "identifier": "J06761",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HNE PROVIDER NUMBER",
            "identifier": "11753",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUFTS PROVIDER NUMBER",
            "identifier": "725076",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Max Ryan Demartino, DPT
• Sean Demartino, PSY.D.
• Sara Demers, PA-C
• Marylouise Demick
• Kelly Jean Deming
• Demosthenes D. Dasco, MD, PC
• Daisy Margaret Dempsey, MD
• Ryan Houldsworth Dempsey, M.S.
• Lilibeth K Denham, M.D.
• Daniel Denisenko, PHARMD

• Dermatology Physician in Springfield, MA
• Providers in Springfield, MA by specialty
• Dermatology Physician in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 25, 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.
• 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.

Verify at the official NPI Registry.