Active NPI
Demian Elder, M.D.
- Internal Medicine Physician
- Philadelphia, PA
National Provider Identifier
1811910623
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- MD462992
- Practice address
- 901 Market St Ste 500
Philadelphia, PA 19107-3144 - Phone
- (215) 845-4917
- NPI assigned
- Jul 25, 2006
- Last updated
- Nov 2, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | MD462992 | PA | Primary |
Addresses
Primary practice location
901 Market St Ste 500
Philadelphia, PA 19107-3144
Mailing address
901 Market St Ste 500
Philadelphia, PA 19107-3144
Phone (215) 845-4917
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| MD462992 | Other | PA | PA LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD462992 | PA | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Alatae Medical LLC | Internal Medicine | Past | Accepting new patients |
| The Radiology Group of New Jersey, LLC | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Internal Medicine Physician
- Hillsborough, NJ
- NPI 1144381567
-
dba The Medical Group of New Jersey
- Multi-Specialty Clinic/Center
- Hackettstown, NJ
- NPI 1174010540
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153785600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1667347200000",
"number": "1811910623",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "901 MARKET ST STE 500",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191073144",
"telephone_number": "215-845-4917"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "901 MARKET ST STE 500",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191073144",
"telephone_number": "215-845-4917"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ELDER",
"first_name": "DEMIAN",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-25",
"last_updated": "2022-11-02",
"certification_date": "2022-11-02",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "PA",
"license": "MD462992",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PA LICENSE",
"identifier": "MD462992",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Philadelphia, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.