Individual provider Active NPI

Michael Demeure, MD

  • Surgery Physician
  • Newport Beach, CA
National Provider Identifier
1629041579
Registry record updated Jun 12, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
G64786 Issued in CA
Practice address
510 Superior Ave
Ste 200G
Newport Beach, CA 92663-3664
Phone
(949) 791-6767
Fax
(949) 791-6768
NPI assigned
Feb 10, 2006
Last updated
Jun 12, 2020By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 12, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X G64786 CA Primary
Surgery Physician 208600000X 15867 AZ

Addresses

Primary practice location

510 Superior Ave
Ste 200G
Newport Beach, CA 92663-3664

Mailing address

510 Superior Ave
Ste 200G
Newport Beach, CA 92663-3664
Phone (949) 791-6767

Other practice location 1

9475 E Ironwood Square Dr
Suite 102
Scottsdale, AZ 85258-4576
Phone (480) 397-9080

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20170518002167 CA Practitioner - General Surgery 2567466659 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Hahnemann University College of Medicine, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hoag ClinicGroup PAC ID 3274872064, 447 clinicians

Practice addresses (Care Compare)

1 Hoag Dr
Newport Beach, CA 92663-4162

1031 Avenida Pico
Suite 204
San Clemente, CA 92673-6352
Phone (949) 829-5533

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
87.51 of 100Reported as group
Quality
84.12
Promoting interoperability
100
Improvement activities
40
Cost
74.24

Procedures performed for Medicare patients

ProcedureNumber of procedures
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
15867AZMDMarriage & Family Therapist
G64786CAMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Newport-Irvine Surgical Specialists, a Professional Corporation Surgery CurrentSince May 1, 2017 Accepting new patients
Hoag Clinic CurrentSince Jul 1, 2020 Accepting new patients
Newport Harbor Radiology Associates Medical Group, Inc Past Accepting new patients
Arizona Community Surgeons PC Surgery PastSince Aug 1, 2006 Accepting new patients
Hoag Hospital Past Accepting new patients

Locations

16305 Sand Canyon Ave
Ste 260
Irvine, CA 92618
Phone (949) 360-0300

1 Hoag Dr
Bldg 39
Newport Beach, CA 92663
Phone (949) 764-1801

510 Superior Ave
Ste 200G
Newport Beach, CA 92663
Phone (949) 584-1897

1031 Avenida Pico
Ste 204
San Clemente, CA 92673
Phone (949) 829-5533

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/10944/brand/3/csg/1/fhir/r4
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1139529600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1591920000000",
    "number": "1629041579",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "510 SUPERIOR AVE",
            "address_2": "STE 200G",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926633664",
            "telephone_number": "949-791-6767",
            "fax_number": "949-791-6768"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "510 SUPERIOR AVE",
            "address_2": "STE 200G",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926633664",
            "telephone_number": "949-791-6767",
            "fax_number": "949-791-6768"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9475 E Ironwood Square Dr",
            "address_2": "Suite 102",
            "address_purpose": "LOCATION",
            "city": "Scottsdale",
            "state": "AZ",
            "postal_code": "852584576",
            "country_code": "US",
            "telephone_number": "480-397-9080",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DEMEURE",
        "first_name": "MICHAEL",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-02-10",
        "last_updated": "2020-06-12",
        "certification_date": "2020-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "CA",
            "license": "G64786",
            "primary": true
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "AZ",
            "license": "15867",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newport Beach, CA

Sources for this page

Verify at the official NPI Registry.