DANIEL STEPHEN DEMICK (MD) – Psychiatry Physician, NPI 1669979837

DANIEL STEPHEN DEMICK (MD) is a healthcare provider. based in Louisville, Kentucky. specializing in PSYCHIATRY. They hold the professional credentials MD. They hold a License No. D0104452 (MD). The NPI Number for DANIEL STEPHEN DEMICK (MD) is 1669979837

Main info

Male
Sole Proprietor
6 Years Of Experience
Accepts Medicare Assignment
Name
DANIEL STEPHEN DEMICK (MD)
NPI
1669979837
Phone
(502) 852-8696
Address
500 S PRESTON ST RM 305
Enumeration Date
12 April 2018
Last Update Date
11 February 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2394365100
Graduation Year
2020 (6 years ago)
PAC ID
8022430800
Group Practice PAC ID
9436139565
Professional Enrollment ID
I20240919001874
Address ID
FL341025754NA350XXNXXX402
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience63
Completeness85
Years active:8State licenses:3Digital endpointsOther names

398 PSYCHIATRY in KY

Provider Addresses for DANIEL STEPHEN DEMICK (MD)

  • 500 S PRESTON ST RM 305

    LOUISVILLE, KY 402021702

    Phone: (502) 852-8696

    Type: Mailing

  • 1755 NORTH MECKLENBURG AVE

    SOUTH HILL, VA 23950

    Phone: (434) 584-5412

    Fax: (434) 584-5579

    Type: Location

  • 618 Hospital Rd

    Tappahannock, VA 225605000

    Phone: (804) 443-3311

    Fax: (804) 828-8765

    Type: Location

  • 1080 First Colonial Rd Ste 403

    Virginia Beach, VA 234542406

    Phone: (757) 395-1850

    Type: Location

  • 1250 E Marshall St

    Richmond, VA 232985023

    Phone: (804) 628-6747

    Fax: (804) 828-8765

    Type: Location

  • 1115 20TH ST

    HUNTINGTON, WV 257032071

    Phone: (304) 691-1500

    Fax: (304) 523-4358

    Type: Mailing

  • 105 KRISTI DR

    INDIAN HARBOUR BEACH, FL 329374106

    Phone: (740) 649-6147

    Type: Mailing

  • 740 MACE RD

    PATRICK AFB, FL 329253616

    Phone: (304) 691-1500

    Fax: (304) 523-4358

    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: 2026-01-14

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 4 Medicare enrollment records; no due dates published yet.

Enrollment records

4

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20240919001874IPsychiatryFLTBD
I20251003002733IPsychiatryVATBD
I20251203001805IPsychiatryMDTBD
I20260114000418IPsychiatryNCTBD

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.

Verify on CMS Revalidation Lookup Tool

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 40202)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 9436139565View full group profile
NameSpecialtyState
Family PracticeFL
-OH
-FL
H O S P I T A L I S TFL
-FL
Cardiovascular Disease (Cardiology)MN
Cardiovascular Disease (Cardiology)FL
Diagnostic RadiologyNC
Nurse PractitionerFL
-FL

Reviews

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Frequently asked questions

Does DANIEL STEPHEN DEMICK (MD) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — DANIEL STEPHEN DEMICK (MD) uses 1669979837.
Is DANIEL STEPHEN DEMICK (MD) listed as active for patients and plans?
The listing shows DANIEL STEPHEN DEMICK (MD) as active in the NPI system.
What taxonomy line describes DANIEL STEPHEN DEMICK (MD)?
For research purposes, treat DANIEL STEPHEN DEMICK (MD) as Psychiatry Physician in this dataset. Clinical services aligned with this taxonomy classification.
Where is DANIEL STEPHEN DEMICK (MD) based?
DANIEL STEPHEN DEMICK (MD) is tied to Louisville, Kentucky in the data we show; additional addresses may exist on the full record.
Why does DANIEL STEPHEN DEMICK (MD) have multiple addresses?
10 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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