Individual provider Active NPI

William Joseph Demedio, M.D.

  • Family Medicine Physician
  • Springfield, PA
National Provider Identifier
1659313419
Registry record updated Dec 17, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD042141-E Issued in PA
Practice address
46 Greenhill Rd
Springfield, PA 19064-2510
Phone
(610) 328-3345
Fax
(888) 251-9664
NPI assigned
Jun 12, 2006
Last updated
Dec 17, 2019By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 17, 2019

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

Specialties & licenses 15

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MD042141-E PA Primary
Internal Medicine Physician 207R00000X MD042141E PA
Adolescent Medicine (Family Medicine) Physician 207QA0000X MD042141E PA
Sports Medicine (Family Medicine) Physician 207QS0010X MD042141E PA
Emergency Medicine Physician 207P00000X MD042141E PA
Occupational Medicine Physician 2083X0100X MD042141E PA
Psychiatry Physician 2084P0800X MD042141E PA
Acupuncturist 171100000X MD042141E PA
Legal Medicine 173000000X MD042141E PA
Home Modifications Contractor 171WH0202X MD042141E PA
Addiction Medicine (Family Medicine) Physician 207QA0401X MD042141E PA
Obesity Medicine (Family Medicine) Physician 207QB0002X MD042141E PA
Geriatric Medicine (Family Medicine) Physician 207QG0300X MD042141E PA
Hospitalist Physician 208M00000X MD042141E PA
General Practice Physician 208D00000X MD042141E PA

Addresses

Primary practice location

46 Greenhill Rd
Springfield, PA 19064-2510

Mailing address

46 Greenhill Rd
Springfield, PA 19064-2510
Phone (610) 328-3345

Other identifiers 2

IdentifierTypeStateIssuer
1393388MedicaidPA
679222OtherPAPA BLUE SHIELD PROVIDER NUMBER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20091221000582 PA Practitioner - Family Practice 7618017773 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Temple University School of Medicine, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pennsylvania Urgent Care Centers, PLLCGroup PAC ID 8123200631, 107 clinicians

Practice addresses (Care Compare)

1444 W Passyunk Ave
Doctors Express
Philadelphia, PA 19145-2312
Phone (215) 964-9250

150 E Pennsylvania Ave
Downingtown, PA 19335-2657
Phone (610) 518-1060

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD042141EPAMDEmergency Medicine Physician
MD042141-EPAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Spuc, LLC CurrentSince Jun 1, 2015 Accepting new patients
Pennsylvania Urgent Care Centers, PLLC CurrentSince Jun 1, 2015 Accepting new patients
Jefferson Medical Care, PC Emergency Medicine PastSince Nov 1, 2009 Accepting new patients
Windber Hospital, Inc. Past Accepting new patients
Spectrum Health Services Inc Past Accepting new patients

Locations

150 E Pennsylvania Ave
Ste 140
Downingtown, PA 19335
Phone (610) 518-1060

934 Montgomery Ave
Penn Valley, PA 19072
Phone (484) 270-8600

1444 W Passyunk Ave
Philadelphia, PA 19145
Phone (215) 389-4444

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.

NPI Registry JSON

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

{
    "created_epoch": "1150070400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1576540800000",
    "number": "1659313419",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "46 GREENHILL RD",
            "city": "SPRINGFIELD",
            "state": "PA",
            "postal_code": "190642510",
            "telephone_number": "610-328-3345",
            "fax_number": "888-251-9664"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "46 GREENHILL RD",
            "city": "SPRINGFIELD",
            "state": "PA",
            "postal_code": "190642510",
            "telephone_number": "610-328-3345",
            "fax_number": "888-251-9664"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEMEDIO",
        "first_name": "WILLIAM",
        "middle_name": "JOSEPH",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-12",
        "last_updated": "2019-12-17",
        "certification_date": "2019-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "MD042141-E",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MD042141E",
            "primary": false
        },
        {
            "code": "207QA0000X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Adolescent Medicine",
            "state": "PA",
            "license": "MD042141E",
            "primary": false
        },
        {
            "code": "207QS0010X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Sports Medicine",
            "state": "PA",
            "license": "MD042141E",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "PA",
            "license": "MD042141E",
            "primary": false
        },
        {
            "code": "2083X0100X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Occupational Medicine",
            "state": "PA",
            "license": "MD042141E",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "PA",
            "license": "MD042141E",
            "primary": false
        },
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "PA",
            "license": "MD042141E",
            "primary": false
        },
        {
            "code": "173000000X",
            "taxonomy_group": "",
            "desc": "Legal Medicine",
            "state": "PA",
            "license": "MD042141E",
            "primary": false
        },
        {
            "code": "171WH0202X",
            "taxonomy_group": "",
            "desc": "Contractor, Home Modifications",
            "state": "PA",
            "license": "MD042141E",
            "primary": false
        },
        {
            "code": "207QA0401X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Addiction Medicine",
            "state": "PA",
            "license": "MD042141E",
            "primary": false
        },
        {
            "code": "207QB0002X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Obesity Medicine",
            "state": "PA",
            "license": "MD042141E",
            "primary": false
        },
        {
            "code": "207QG0300X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Geriatric Medicine",
            "state": "PA",
            "license": "MD042141E",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "PA",
            "license": "MD042141E",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PA",
            "license": "MD042141E",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1393388",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PA BLUE SHIELD PROVIDER NUMBER",
            "identifier": "679222",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, PA

Sources for this page

Verify at the official NPI Registry.