Individual provider Active NPI

James David Demmel, M.D.

  • Family Medicine Physician
  • Marshalltown, IA
National Provider Identifier
1811985559
Registry record updated Jul 20, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
27203 Issued in IA
Practice address
312 E Main St
Marshalltown, IA 50158-1888
Phone
(641) 752-5469
Fax
(641) 844-2205
NPI assigned
Oct 6, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 20, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 27203 IA Primary
Emergency Medicine Physician 207P00000X 27203 IA

Addresses

Primary practice location

312 E Main St
Marshalltown, IA 50158-1888

Mailing address

312 E Main St
Marshalltown, IA 50158-1888
Phone (641) 752-5469

Other identifiers 3

IdentifierTypeStateIssuer
1811985559OtherIABLUE SHIELD
1058966MedicaidIA
1811985559MedicaidIA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
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
I20221212002277 IL Order and Referring Only - Family PracticePractitioner - Family Practice 3375607013

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
27203IAMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
McFarland Clinic PC Current Accepting new patients
Boone County Hospital Past Accepting new patients

Locations

1215 Duff Ave
Ames, IA 50010
Phone (515) 239-4400

312 E Main St
Marshalltown, IA 50158
Phone (641) 844-2294

3 S 4th Ave
Marshalltown, IA 50158
Phone (641) 754-5145

Interoperability endpoints

  • Direct secure messaging: james.demmel.1@14940.direct.athenahealth.com

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1128556800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1342742400000",
    "number": "1811985559",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "312 E MAIN ST",
            "city": "MARSHALLTOWN",
            "state": "IA",
            "postal_code": "501581888",
            "telephone_number": "641-752-5469",
            "fax_number": "641-844-2205"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "312 E MAIN ST",
            "city": "MARSHALLTOWN",
            "state": "IA",
            "postal_code": "501581888",
            "telephone_number": "641-752-5469",
            "fax_number": "641-844-2205"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEMMEL",
        "first_name": "JAMES",
        "middle_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-06",
        "last_updated": "2012-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IA",
            "license": "27203",
            "primary": true
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "IA",
            "license": "27203",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "1811985559",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1058966",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1811985559",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Marshalltown, IA

Sources for this page

Verify at the official NPI Registry.