MELCHOR V DEMETRIA (M.D.) – Gastroenterology Physician, NPI 1316951304
Gastroenterology Physician
Main info
Doctor Profile
Contacts
Profile Insights
NPPES metrics only — not quality of care.
978 GASTROENTEROLOGY in IL
Provider Addresses for MELCHOR V DEMETRIA (M.D.)
3700 W 203rd St Ste 201
Olympia Fields, IL 604611182
Phone: (708) 679-2380
Fax: (708) 747-3628
Type: Location
Fantus Health Center, 1901, West Harrison Street, Near West Side, Illinois Medical District, Chicago, Illinois Medical District, Illinois, 60612, United States
CHICAGO, IL 606123714
Phone: (312) 864-3251
Fax: (312) 864-9322
Type: Location
807, West Wolfram Street, Park West, Lake View, Chicago, Cook County, Illinois, 60657, United States
CHICAGO, IL 606575180
Phone: (312) 864-3251
Fax: (312) 864-9322
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 6 Open Payments records for all available years, with a total value of $288.
Total Amount is formed as General ($288) + Research ($0) + Ownership ($0) = $288.
Last reported payment date: 2024-07-01 • Largest payer in this snapshot: Cook Medical LLC ($288).
Total Amount
$288
General + Research + Ownership
Payments
6
Total payment records
General Amount
$288
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-07-01
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Cook Medical LLC | $288 |
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: 2022-02-23
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
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 |
|---|---|---|---|---|
| I20050316000497 | I | Gastroenterology | IL | TBD |
| I20220223002012 | I | Gastroenterology | SD | 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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99221 | Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes | 92 | 89 | $0 |
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 43 | 34 | $0 |
| 43239 | Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope | 34 | 34 | $0 |
| 99222 | Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes | 16 | 15 | $0 |
| 99231 | Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes | 15 | 14 | $0 |
Insurance plans in this area (ZIP 60461)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Diagnostic Radiology | SD | |
| N E U R O L O G Y | SD | |
| - | SD | |
| - | MI | |
| Interventional Radiology | SD | |
| - | SD | |
| - | SD | |
| Hospitalist, Internal Medicine | SD | |
| Interventional Cardiology, Cardiovascular Disease (Cardiology), Internal Medicine | SD | |
| Diagnostic Radiology, Interventional Radiology | SD |
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