Dembal Heart & Vascular PLLC

Primary specialty

Interventional Cardiology PhysicianTaxonomy code 207RI0011X

Legal business name

DEMBAL HEART & VASCULAR PLLC

Practice address

427 Carriage Dr
Beckley, WV 25801-2805

Phone

(304) 241-2796

Fax

(681) 207-1811

NPI assigned

Jul 18, 2018

Organization subpart

No

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

Authorized official

Name

Melaku Demede, MDNPI 1396935763

Title

President

Phone

(646) 515-9639

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in WV

Enrollment records 1

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Melaku Gebremariam Demede, M.D.

  • Interventional Cardiology Physician
  • Beckley, WV
  • NPI 1396935763
  Medicare reassignment Care Compare group Authorized official
• Shakur Ali Sobhan, PA-C

  • Physician Assistant
  • Beckley, WV
  • NPI 1053713180
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1531872000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1712534400000",
    "number": "1770069163",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "226 TIMBER RIDGE DR",
            "city": "BECKLEY",
            "state": "WV",
            "postal_code": "258013655",
            "telephone_number": "646-515-9639"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "427 CARRIAGE DR",
            "city": "BECKLEY",
            "state": "WV",
            "postal_code": "258012805",
            "telephone_number": "304-241-2796",
            "fax_number": "681-207-1811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEMBAL HEART & VASCULAR PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-18",
        "last_updated": "2024-04-08",
        "certification_date": "2024-04-08",
        "status": "A",
        "authorized_official_last_name": "DEMEDE",
        "authorized_official_first_name": "MELAKU",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "646-515-9639",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RI0011X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WV MEDICAL LICENSE",
            "identifier": "24891",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Valerie Gaye Deberry
• Gabrielle Debold, RPH
• Christopher Defibaugh
• Matthew Delph, MD
• Isabel Cristina Deltoro Gordinho, M.D.
• Melaku Gebremariam Demede, M.D.
• Becky Leigh Dempsey, RN
• Audrey Berry Dennis
• Roberta Jean Dennison
• Melinda Elaine Denno

• Interventional Cardiology Physician in Beckley, WV
• Providers in Beckley, WV by specialty
• Interventional Cardiology Physician in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.