Individual provider Active NPI

Anthony P Demaria, DPM

  • Foot & Ankle Surgery Podiatrist
  • Florence, KY
National Provider Identifier
1942284377
Registry record updated Apr 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
244128 Issued in KY
Practice address
7033 Burlington Pike Ste 2
Florence, KY 41042-1600
Phone
(859) 746-3668
NPI assigned
Nov 30, 2005
Last updated
Apr 26, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 26, 2022

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

Specialties & licenses 9

Specialty (taxonomy)CodeLicenseStatePrimary
Public Medicine Podiatrist 213EP0504X 244128 KY
Primary Podiatric Medicine Podiatrist 213EP1101X 244128 KY
Radiology Podiatrist 213ER0200X 244128 KY
Sports Medicine Podiatrist 213ES0000X 244128 KY
Foot & Ankle Surgery Podiatrist 213ES0103X 270 KY
Foot & Ankle Surgery Podiatrist 213ES0103X 0585 AZ
Foot & Ankle Surgery Podiatrist 213ES0103X 244128 KY Primary
Foot Surgery Podiatrist 213ES0131X KY00270 KY
Foot Surgery Podiatrist 213ES0131X 244128 KY

Addresses

Primary practice location

7033 Burlington Pike Ste 2
Florence, KY 41042-1600

Mailing address

7033 Burlington Pike Ste 2
Florence, KY 41042-1600
Phone (859) 746-3668

Other practice location 1

238 Barnes Rd
Williamstown, KY 41097-9482
Phone (859) 341-9900

Other identifiers 5

IdentifierTypeStateIssuer
000000926847OtherANTHEM
201301300MedicaidIN
793233MedicaidAZ
P01459301OtherKYRAILROAD MEDICARE
7100106670MedicaidKY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220516001417 KY Practitioner - Podiatry 5597750802 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Kent State University College of Podiatric Medicine, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
360Care Services of Kentucky LLCGroup PAC ID 9931587888, 17 clinicians

Practice addresses (Care Compare)

238 Barnes Rd
Williamstown, KY 41097-9482
Phone (859) 746-3668

4350 Brownsboro Rd
Suite 200
Louisville, KY 40207-1681
Phone (248) 528-2116

7033 Burlington Pike
Suite 2
Florence, KY 41042-1600
Phone (859) 746-3668

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue56
Removal of skin lesions1-10
Removal of nail tissue1207
Removal or shaving of skin growth198

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
244128KYMDPrimary Podiatric Medicine Podiatrist
0585AZMDFoot & Ankle Surgery Podiatrist
270KYMDFoot & Ankle Surgery Podiatrist
KY00270KYMDFoot Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Ability Foot & Ankle, PLLC Public Medicine CurrentSince Jan 20, 2022 Accepting new patients
360Care Services of Kentucky LLC CurrentSince Jan 23, 2024 Accepting new patients
360Care Services of Kentucky LLC Current Accepting new patients
Foot Specialists of Greater Cincinnati Foot Surgery Past Accepting new patients
Foot Specialists of Greater Cincinnati Foot Surgery Past Accepting new patients
360Care Services of Kentucky LLC Past Accepting new patients
Foot Specialists of Greater Cincinnati Foot Surgery Past Accepting new patients
Pima Heart Physicians, PC Past Accepting new patients
Carondelet Medical Group Inc Foot & Ankle Surgery Past Accepting new patients

Locations

7033 Burlington Pike
Ste 2
Florence, KY 41042
Phone (859) 647-2834

12910 Shelbyville Rd
Ste 300
Louisville, KY 40243
Phone (502) 214-0693

4350 Brownsboro Rd
Ste 200
Louisville, KY 40207
Phone (513) 771-7483

238 Barnes Rd
Williamstown, KY 41097
Phone (859) 292-4000

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/bb0f3815-61cd-44f3-85f8-eeb2e99ef22a/
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 9

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1133308800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650931200000",
    "number": "1942284377",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7033 BURLINGTON PIKE STE 2",
            "city": "FLORENCE",
            "state": "KY",
            "postal_code": "410421600",
            "telephone_number": "859-746-3668",
            "fax_number": "859-746-3000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7033 BURLINGTON PIKE STE 2",
            "city": "FLORENCE",
            "state": "KY",
            "postal_code": "410421600",
            "telephone_number": "859-746-3668"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "238 Barnes Rd",
            "address_purpose": "LOCATION",
            "city": "Williamstown",
            "state": "KY",
            "postal_code": "410979482",
            "country_code": "US",
            "telephone_number": "859-341-9900",
            "fax_number": "859-341-1649",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DEMARIA",
        "first_name": "ANTHONY",
        "middle_name": "P",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-30",
        "last_updated": "2022-04-26",
        "certification_date": "2022-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213EP0504X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Public Medicine",
            "state": "KY",
            "license": "244128",
            "primary": false
        },
        {
            "code": "213EP1101X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Primary Podiatric Medicine",
            "state": "KY",
            "license": "244128",
            "primary": false
        },
        {
            "code": "213ER0200X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Radiology",
            "state": "KY",
            "license": "244128",
            "primary": false
        },
        {
            "code": "213ES0000X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Sports Medicine",
            "state": "KY",
            "license": "244128",
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "KY",
            "license": "270",
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "AZ",
            "license": "0585",
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "KY",
            "license": "244128",
            "primary": true
        },
        {
            "code": "213ES0131X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot Surgery",
            "state": "KY",
            "license": "KY00270",
            "primary": false
        },
        {
            "code": "213ES0131X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot Surgery",
            "state": "KY",
            "license": "244128",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000926847",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201301300",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "793233",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P01459301",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100106670",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Florence, KY

Sources for this page

Verify at the official NPI Registry.