Peter R Demarco, MD

Primary specialty

Otolaryngology PhysicianTaxonomy code 207Y00000X

License

10836 Issued in NE

Practice address

8601 West Dodge Rd
Ste 234 Dodge Professional Center
Omaha, NE 68114

Phone

(402) 393-8910

Fax

(402) 393-3350

NPI assigned

Aug 24, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in NE

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

Specialty

Otolaryngology

Education

Creighton University School of Medicine, 1962

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Sancta Familia Health Associates LLCGroup PAC ID 4284817727, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: peter.demarco.1@24878.direct.athenahealth.com

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.

• Sancta Familia Health Associates LLC

  dba Sancta Familia Medical Apostolate

  • Family Medicine Physician
  • Omaha, NE
  • NPI 1497051015
  Medicare reassignment Care Compare group
• Ear, Nose and Throat Associates P.C.

  • Otolaryngology Physician
  • Omaha, NE
  • NPI 1326376476
  Authorized official Same address or phone
• Nagi T Ayoub MD PC

  dba Westfield Plastic Surgery

  • Plastic Surgery Physician
  • Omaha, NE
  • NPI 1871861609
  NPD (past)

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

{
    "created_epoch": "1156377600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1841307782",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8601 WEST DODGE RD",
            "address_2": "STE 234 DODGE PROFESSIONAL CENTER",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "68114",
            "telephone_number": "402-393-8910",
            "fax_number": "402-393-3350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8601 WEST DODGE RD",
            "address_2": "STE 234 DODGE PROFESSIONAL CENTER",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "68114",
            "telephone_number": "402-393-8910",
            "fax_number": "402-393-3350"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEMARCO",
        "first_name": "PETER",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-24",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "NE",
            "license": "10836",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0914416",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "470535639",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Devin Deluna
• Britni Lea Delva, PA-C
• Tara L Delzer
• Linda Deman
• Jessica Mack Demarco, PSYD
• Carman R Demare, APRN
• Emma Demaria
• Catherine Demasi, CTRS
• Madison Dembin, OD
• Nicole Demchuk

• Otolaryngology Physician in Omaha, NE
• Providers in Omaha, NE by specialty
• Otolaryngology Physician in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.