ISRAEL DEMENEZES (CRNA) – Certified Registered Nurse Anesthetist, NPI 1730556937

ISRAEL DEMENEZES (CRNA) is a healthcare provider. based in Boston, Massachusetts. specializing in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). They hold the professional credentials CRNA. They hold a License No. RN260367 (MA). The NPI Number for ISRAEL DEMENEZES (CRNA) is 1730556937

Main info

Male
10 Years Of Experience
Accepts Medicare Assignment
Name
ISRAEL DEMENEZES (CRNA)
NPI
1730556937
Phone
(617) 710-5923
Address
178 W 4TH ST
Enumeration Date
24 August 2015
Last Update Date
19 July 2023

Doctor Profile

Medical School Name
NEBRASKA COLLEGE OF MEDICINE
Secondary Phone
8028888405
Graduation Year
2016 (10 years ago)
PAC ID
0749578441
Group Practice PAC ID
9234125766
Professional Enrollment ID
I20200611000248
Address ID
VT056618973MO528XXHWYX322
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience63
Completeness75
Years active:10State licenses:2Digital endpointsOther names

1,311 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in MA

Provider Addresses for ISRAEL DEMENEZES (CRNA)

  • 178 W 4TH ST

    4B

    BOSTON, MA 021271877

    Phone: (617) 710-5923

    Type: Mailing

  • 178 W 4th St

    4B

    Boston, MA 021271877

    Phone: (617) 710-5923

    Type: Location

  • 111 Colchester Ave

    Burlington, VT 054011473

    Phone: (802) 847-0000

    Type: Location

  • 130 Fisher Rd Unit 1

    Berlin, VT 056028132

    Phone: (802) 371-4329

    Type: Location

  • 528 WASHINGTON HWY

    MORRISVILLE, VT 056618973

    Phone: (802) 888-8888

    Type: Mailing

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: 2020-06-11

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

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

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20161012002587ICertified Registered Nurse Anesthetist (Crna)MATBD
I20200611000248ICertified Registered Nurse Anesthetist (Crna)VTTBD

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 02127)

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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: 9234125766View full group profile
NameSpecialtyState
Physician AssistantVT
Orthopedic SurgeryVT
General SurgeryNH
-VT
Physical Therapist In Private PracticeVT
Orthopedic SurgerySC
Physician AssistantVT
Emergency MedicineAK
Orthopedic SurgeryVT
O B S T E T R I C S/ G Y N E C O L O G YVT

Reviews

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Frequently asked questions

Can I use this page to confirm ISRAEL DEMENEZES (CRNA)'s NPI?
Yes. ISRAEL DEMENEZES (CRNA) is listed with NPI 1730556937 in the public NPI dataset.
Is ISRAEL DEMENEZES (CRNA) listed as active for patients and plans?
The listing shows ISRAEL DEMENEZES (CRNA) as active in the NPI system.
What is ISRAEL DEMENEZES (CRNA)'s primary classification?
Certified Registered Nurse Anesthetist is the headline specialty for ISRAEL DEMENEZES (CRNA) here. Clinical services aligned with this taxonomy classification.
Does ISRAEL DEMENEZES (CRNA) list a practice location?
Patients near Boston, Massachusetts may find ISRAEL DEMENEZES (CRNA) in results; validate coverage separately.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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