Active NPI
Rebecca A. Demorest, MD
- Pediatric Sports Medicine Physician
- Wilmington, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Sports Medicine Physician
- License
- 2011-00001
- Practice address
- 2716 Ashton Dr
Wilmington, NC 28412-2489 - Phone
- (910) 332-3800
- NPI assigned
- Oct 17, 2006
- Last updated
- Jul 29, 2021
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Sports Medicine Physician | 2080S0010X | MD034832 | DC | |
| Pediatric Sports Medicine Physician | 2080S0010X | A105742 | CA | |
| Pediatric Sports Medicine Physician | 2080S0010X | 2011-00001 | NC | Primary |
Addresses
Primary practice location
2716 Ashton Dr
Wilmington, NC 28412-2489
Mailing address
2716 Ashton Dr
Wilmington, NC 28412-2489
Phone (910) 332-3800
Other practice location 1
1450 Treat Blvd Ste 160
Walnut Creek, CA 94597-2168
Phone (925) 296-6000
Other practice location 2
4000 Dublin Blvd Ste 100
Dublin, CA 94568-3122
Phone (925) 556-7320
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Pediatric Medicine
- Education
- University of Pittsburgh School of Medicine, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2716 Ashton Dr
Wilmington, NC 28412-2489
Phone (910) 332-3800
Merit-based Incentive Payment System (MIPS)
- Final score
- 89.07 of 100
- Quality
- 85.94
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 77.63
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A105742 | CA | MD | Pediatric Sports Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Emergeortho PA | Current | Accepting new patients | |
| Emergeortho PA | Current | Accepting new patients | |
| Children's Hospital | Past | Accepting new patients |
Locations
799 Doctors Ct
Roxboro, NC 27573
Phone (336) 599-4079
6019 Oleander Dr
Ste 200
Wilmington, NC 28403
Phone (910) 790-9714
2716 Ashton Dr
Wilmington, NC 28412
Phone (910) 332-1534
Interoperability endpoints
- rdemorest1245192@direct.novanthealth.org
- rebecca.demorest.1@847.direct.athenahealth.com
Organizations & group practices 3
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.
-
- Orthopaedic Surgery Physician
- Durham, NC
- NPI 1376592964
-
- Durable Medical Equipment & Medical Supplies
- Eden, NC
- NPI 1841170222
-
- Children's Hospital
- Washington, DC
- NPI 1912939703
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161043200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1627516800000",
"number": "1891875522",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2716 ASHTON DR",
"city": "WILMINGTON",
"state": "NC",
"postal_code": "284122489",
"telephone_number": "910-332-3800"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2716 ASHTON DR",
"city": "WILMINGTON",
"state": "NC",
"postal_code": "284122489",
"telephone_number": "910-332-3800"
}
],
"practiceLocations": [
{
"address_1": "1450 Treat Blvd Ste 160",
"address_purpose": "LOCATION",
"city": "Walnut Creek",
"state": "CA",
"postal_code": "945972168",
"country_code": "US",
"telephone_number": "925-296-6000",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "4000 Dublin Blvd Ste 100",
"address_purpose": "LOCATION",
"city": "Dublin",
"state": "CA",
"postal_code": "945683122",
"country_code": "US",
"telephone_number": "925-556-7320",
"fax_number": "925-479-0231",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DEMOREST",
"first_name": "REBECCA",
"middle_name": "A.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-17",
"last_updated": "2021-07-29",
"certification_date": "2021-07-29",
"status": "A"
},
"taxonomies": [
{
"code": "2080S0010X",
"taxonomy_group": "",
"desc": "Pediatrics, Sports Medicine",
"state": "DC",
"license": "MD034832",
"primary": false
},
{
"code": "2080S0010X",
"taxonomy_group": "",
"desc": "Pediatrics, Sports Medicine",
"state": "CA",
"license": "A105742",
"primary": false
},
{
"code": "2080S0010X",
"taxonomy_group": "",
"desc": "Pediatrics, Sports Medicine",
"state": "NC",
"license": "2011-00001",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Wilmington, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2021; 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.