NPIMap

Individual provider Active NPI

Trudy M Demko, MD

  • Nephrology Physician
  • Wyomissing, PA
National Provider Identifier
1780667691
Registry record updated Nov 9, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
MD052502L Issued in PA
Practice address
1030 Reed Avenue
Suite 114
Wyomissing, PA 19610-2029
Phone
(610) 376-7365
Fax
(610) 376-1320
NPI assigned
Nov 23, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 9, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X MD052502L PA Primary

Addresses

Primary practice location

1030 Reed Avenue
Suite 114
Wyomissing, PA 19610-2029

Mailing address

1030 Reed Avenue
Suite 114
Wyomissing, PA 19610-2029
Phone (610) 376-7365

Other identifiers 1

IdentifierTypeStateIssuer
0014837610001MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20110309000490 PA Practitioner - Nephrology 9931294063 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nephrology
Education
Pennsylvania State University College of Medicine, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Reading Nephrology, LTDGroup PAC ID 2062451578, 13 clinicians

Practice addresses (Care Compare)

1030 Reed Ave
Suite 114
Wyomissing, PA 19610-2039
Phone (610) 376-7365

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD052502LPAMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Reading Nephrology, LTD Nephrology CurrentSince Sep 22, 1994 Accepting new patients

Locations

420 S 5th Ave
West Reading, PA 19611
Phone (484) 628-3637

301 S 7th Ave
West Reading, PA 19611
Phone (610) 374-2214

301 S 7th Ave
Ste 355
West Reading, PA 19611
Phone (610) 376-7365

1030 Reed Ave
Ste 114
Wyomissing, PA 19610
Phone (610) 376-7365

220 N Park Rd
Wyomissing, PA 19610

965 Berkshire Blvd
Wyomissing, PA 19610
Phone (484) 509-2451

Interoperability endpoints

  • Direct secure messaging: drdemko@readingnephrology.medentdirect.com

Organizations & group practices 1

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 13

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

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1132704000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1478649600000",
    "number": "1780667691",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1030 REED AVENUE",
            "address_2": "SUITE 114",
            "city": "WYOMISSING",
            "state": "PA",
            "postal_code": "196102029",
            "telephone_number": "610-376-7365",
            "fax_number": "610-376-1320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1030 REED AVENUE",
            "address_2": "SUITE 114",
            "city": "WYOMISSING",
            "state": "PA",
            "postal_code": "196102029",
            "telephone_number": "610-376-7365",
            "fax_number": "610-376-1320"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEMKO",
        "first_name": "TRUDY",
        "middle_name": "M",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-23",
        "last_updated": "2016-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "PA",
            "license": "MD052502L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0014837610001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wyomissing, PA

Sources for this page

Verify at the official NPI Registry.