Active NPI
Jeffrey S Demare, MD
- Pediatric Critical Care Medicine Physician
- Wilmington, DE
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Critical Care Medicine Physician
- License
- C1-0012430
- Practice address
- 1600 Rockland Rd
Wilmington, DE 19803-3607 - Phone
- (302) 651-4200
- Fax
- (302) 651-5348
- NPI assigned
- Apr 28, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Critical Care Medicine Physician | 2080P0203X | 22177 | NE | |
| Pediatric Critical Care Medicine Physician | 2080P0203X | C1-0012430 | DE | Primary |
Addresses
Primary practice location
1600 Rockland Rd
Wilmington, DE 19803-3607
Mailing address
PO Box 191
Rockland, DE 19732-0191
Other practice location 1
500 Harvard St SE
Minneapolis, MN 55455-0363
Phone (612) 273-3000
Other practice location 2
500 Harvard St SE
Minneapolis, MN 55455-0363
Phone (612) 273-3000
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 238550 | Other | MIDLANDS CHOICE | |
| 0558791 | Medicaid | IA | |
| 00937 | Other | NE | BCBS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DE, MT, LA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C1-0012430 | DE | MD | Pediatric Critical Care Medicine Physician |
| 22177 | NE | MD | Pediatric Critical Care Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| RCHP Billings - Missoula LLC | Current | Accepting new patients | |
| Louisiana State University School of Med in New Orleans Faculty Grou | Current | Accepting new patients | |
| RCHP Billings - Missoula LLC | Current | Accepting new patients | |
| The Nemours Foundation | Current | Accepting new patients | |
| The Nemours Foundation | Current | Accepting new patients |
Locations
1600 Rockland Rd
Wilmington, DE 19803
200 Henry Clay Ave
New Orleans, LA 70118
Phone (504) 412-1860
2827 Fort Missoula Rd
Fl 3
Missoula, MT 59804
Phone (406) 327-4237
2230 N Reserve St
Ste 402
Missoula, MT 59808
Phone (406) 327-3850
2230 N Reserve St
Missoula, MT 59808
Phone (406) 721-0533
Organizations & group practices 5
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.
-
- Multi-Specialty Clinic/Center
- Wilmington, DE
- NPI 1366594699
-
- Pediatrics Physician
- New Orleans, LA
- NPI 1932492626
-
- Specialist
- Missoula, MT
- NPI 1376946913
-
- Children's Hospital
- Wilmington, DE
- NPI 1467505073
-
- Medical Oncology Physician
- Missoula, MT
- NPI 1891164125
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146182400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521244800000",
"number": "1922065267",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 191",
"city": "ROCKLAND",
"state": "DE",
"postal_code": "197320191",
"fax_number": "302-651-5345"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1600 ROCKLAND RD",
"city": "WILMINGTON",
"state": "DE",
"postal_code": "198033607",
"telephone_number": "302-651-4200",
"fax_number": "302-651-5348"
}
],
"practiceLocations": [
{
"address_1": "500 Harvard St SE",
"address_purpose": "LOCATION",
"city": "Minneapolis",
"state": "MN",
"postal_code": "554550363",
"country_code": "US",
"telephone_number": "612-273-3000",
"fax_number": "612-273-4370",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "500 Harvard St SE",
"address_purpose": "LOCATION",
"city": "Minneapolis",
"state": "MN",
"postal_code": "554550363",
"country_code": "US",
"telephone_number": "612-273-3000",
"fax_number": "612-273-4370",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DEMARE",
"first_name": "JEFFREY",
"middle_name": "S",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-04-28",
"last_updated": "2018-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "2080P0203X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Critical Care Medicine",
"state": "NE",
"license": "22177",
"primary": false
},
{
"code": "2080P0203X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Critical Care Medicine",
"state": "DE",
"license": "C1-0012430",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MIDLANDS CHOICE",
"identifier": "238550",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0558791",
"state": "IA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "00937",
"state": "NE"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Wilmington, DE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.