JAMES P DEMETRIOU (MD) – Family Medicine Physician, NPI 1447298583
Family Medicine Physician
Main info
Doctor Profile
Contacts
Profile Insights
NPPES metrics only — not quality of care.
2,330 FAMILY PRACTICE in MO
Provider Addresses for JAMES P DEMETRIOU (MD)
6101 BLUE LAGOON DR STE 200
MIAMI, FL 331263168
Phone:
Type: Mailing
19401 E 39TH ST S
INDEPENDENCE, MO 640572308
Phone: (816) 490-4277
Fax: (855) 446-7160
Type: Location
300, Hoohana Street, Kahului, Maui County, Hawaii, 96732, United States
KAHULUI, HI 967322476
Phone: (808) 871-2454
Type: Mailing
Pinedale Medical Clinic, 625, East Hennick Street, Pinedale, Sublette County, Wyoming, 82941, United States
PINEDALE, WY 82941
Phone: (307) 367-4133
Fax: (307) 367-6636
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2025-12-11
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20251211003817 | I | Family Practice | MO | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 33126)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | FL | |
| Nurse Practitioner | FL | |
| Family Practice | MO | |
| Nurse Practitioner | FL | |
| Internal Medicine | FL | |
| Family Practice | FL | |
| Nurse Practitioner | MO | |
| Family Practice | FL | |
| Family Practice | MO | |
| Nurse Practitioner | KS |
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