Individual provider Active NPI

David P Demarino, MD

  • Otolaryngology Physician
  • Bethel Park, PA
National Provider Identifier
1679508030
Registry record updated Mar 30, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
MD037984E Issued in PA
Practice address
2000 Oxford Dr
Suite 201
Bethel Park, PA 15102-1827
Phone
(412) 831-7570
Fax
(412) 854-6149
NPI assigned
Jul 12, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 30, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X MD037984E PA Primary

Addresses

Primary practice location

2000 Oxford Dr
Suite 201
Bethel Park, PA 15102-1827

Mailing address

2000 Oxford Dr
Suite 201
Bethel Park, PA 15102-1827
Phone (412) 831-7570

Other identifiers 1

IdentifierTypeStateIssuer
0011050340004MedicaidPA

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
I20100723000165 PA Practitioner - Otolaryngology 8628147428 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Otolaryngology
Education
Pennsylvania State University College of Medicine, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
South Hills ENT AssociationGroup PAC ID 5395782361, 8 clinicians

Practice addresses (Care Compare)

2000 Oxford Dr
Suite 201
Bethel Park, PA 15102-1841
Phone 4128317570325

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
South Hills ENT Association Otolaryngology CurrentSince Jun 3, 1987 Accepting new patients
Windber Hospital, Inc. Past Accepting new patients
Medical Hearing Aid Center, Inc PastSince Jun 26, 2016 Accepting new patients

Locations

2000 Oxford Dr
Ste 201
Bethel Park, PA 15102
Phone (412) 831-7570

575 Coal Valley Rd
Ste 400
Jefferson Hills, PA 15025
Phone (412) 267-6500

Organizations & group practices 4

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.

Hospital & facility affiliations 4

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": "1152662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1459296000000",
    "number": "1679508030",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 OXFORD DR",
            "address_2": "SUITE 201",
            "city": "BETHEL PARK",
            "state": "PA",
            "postal_code": "151021827",
            "telephone_number": "412-831-7570",
            "fax_number": "412-854-6149"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 OXFORD DR",
            "address_2": "SUITE 201",
            "city": "BETHEL PARK",
            "state": "PA",
            "postal_code": "151021827",
            "telephone_number": "412-831-7570",
            "fax_number": "412-854-6149"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEMARINO",
        "first_name": "DAVID",
        "middle_name": "P",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-12",
        "last_updated": "2016-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "PA",
            "license": "MD037984E",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0011050340004",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bethel Park, PA

Sources for this page

Verify at the official NPI Registry.