NPIMap

Individual provider Active NPI

Patrick Dermody, MD

  • Family Medicine Physician
  • Napa, CA
National Provider Identifier
1629483565
Registry record updated Jun 17, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A139766 Issued in CA
Practice address
1001 Professional Dr
Napa, CA 94558-6413
Phone
(707) 252-0494
NPI assigned
Jun 30, 2014
Last updated
Jun 17, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2019

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 NU
Family Medicine Physician 207Q00000X A139766 CA Primary

Addresses

Primary practice location

1001 Professional Dr
Napa, CA 94558-6413

Mailing address

1001 Professional Dr
Napa, CA 94558-6413
Phone (707) 252-0494

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160909001650 CA Practitioner - Family Practice 4981990405 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of California, San Diego School of Medicine, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Napa Valley Family Medical Group IncGroup PAC ID 9234184102, 7 clinicians

Practice addresses (Care Compare)

1001 Professional Dr
Napa, CA 94558-6413
Phone (707) 252-0494

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions36
Removal or shaving of skin growth1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A139766CAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Napa Valley Family Medical Group, Inc Family Medicine CurrentSince Jul 25, 2017 Accepting new patients
Seaside Emergency Associates CurrentSince Apr 5, 2017 Accepting new patients
St. Joseph Health Northern California, LLC Past Accepting new patients

Locations

1001 Professional Dr
Napa, CA 94558
Phone (707) 252-0494

1561 Third St
Napa, CA 94559

1222 Pine St
Saint Helena, CA 94574
Phone (707) 963-2711

825 N 10th St
Santa Paula, CA 93060
Phone (805) 933-8600

300 Hillmont Ave
Ventura, CA 93003
Phone (805) 652-6000

3291 Loma Vista Rd
Ventura, CA 93003
Phone (805) 652-6000

Interoperability endpoints

  • FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.140.72471
  • Direct secure messaging: patrick.dermody.1@30147.direct.athenahealth.com
  • Direct secure messaging: patrick.dermody@nvfmg.directbygreenway.com

Organizations & group practices 3

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 7

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": "1404086400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560729600000",
    "number": "1629483565",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 PROFESSIONAL DR",
            "city": "NAPA",
            "state": "CA",
            "postal_code": "945586413",
            "telephone_number": "707-252-0494",
            "fax_number": "707-252-7586"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 PROFESSIONAL DR",
            "city": "NAPA",
            "state": "CA",
            "postal_code": "945586413",
            "telephone_number": "707-252-0494"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DERMODY",
        "first_name": "PATRICK",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-06-30",
        "last_updated": "2019-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A139766",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Napa, CA

Sources for this page

Verify at the official NPI Registry.