DR. DAVID WILLIAM DEMELLO (D.O.) – Otolaryngology/Facial Plastic Surgery Physician, NPI 1639375884

DR. DAVID WILLIAM DEMELLO (D.O.) is a healthcare provider. based in Clinton township, Michigan. specializing in OTOLARYNGOLOGY, MAXILLOFACIAL SURGERY, PLASTIC AND RECONSTRUCTIVE SURGERY. They hold the professional credentials D.O.. They hold a License No. DD07358 (MI). The NPI Number for DR. DAVID WILLIAM DEMELLO (D.O.) is 1639375884

Main info

Male
Sole Proprietor
49 Years Of Experience
Accepts Medicare Assignment
Name
DR. DAVID WILLIAM DEMELLO (D.O.)
NPI
1639375884
Phone
(586) 228-0600
Address
39379 GARFIELD RD
Enumeration Date
25 June 2007
Last Update Date
11 January 2024

Doctor Profile

Medical School Name
DES MOINES UNIVERSITY OF OSTEOPATHIC MEDICINE AND HEALTH SCIENCES
Secondary Phone
5862280600
Graduation Year
1977 (49 years ago)
PAC ID
1759398910
Group Practice PAC ID
2769854579
Professional Enrollment ID
I20060314000320
Address ID
MI480352012CL36557AVEX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience60
Completeness75
Years active:18State licenses:1Digital endpointsOther names

428 OTOLARYNGOLOGY in MI

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Provider Addresses for DR. DAVID WILLIAM DEMELLO (D.O.)

  • 39379, Garfield Road, Clinton Township, Macomb County, Michigan, 48038, United States

    CLINTON TOWNSHIP, MI 480382794

    Phone: (586) 228-0600

    Fax: (586) 228-1839

    Type: Mailing

  • 120 PARK AVE STE 1

    BEAVER DAM, WI 539162132

    Phone: (920) 885-5225

    Fax: (920) 356-6419

    Type: Mailing

  • 36539 HARPER AVE

    CLINTON TOWNSHIP, MI 480352012

    Phone: (586) 900-8225

    Fax: (920) 356-6419

    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: 2006-03-14

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

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

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20060314000320IOtolaryngologyMITBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes9255$0
99203New patient office or other outpatient visit, 30-44 minutes7978$0
69210Removal of impacted ear wax5146$0
99213Established patient office or other outpatient visit, 20-29 minutes4437$0
31575Diagnostic exam of voice box using a flexible endoscope2316$0
View full utilization report →

Insurance plans in this area (ZIP 48038)

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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: 2769854579View full group profile
NameSpecialtyState
Qualified AudiologistMI
Osteopathic Manipulative Medicine, Sleep Medicine, Otolaryngology, Sleep MedicineWI
Nurse PractitionerIL

Reviews

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Frequently asked questions

Where can patients find DR. DAVID WILLIAM DEMELLO (D.O.)'s NPI?
You can confirm DR. DAVID WILLIAM DEMELLO (D.O.) with NPI 1639375884; it appears in the national provider directory.
Is DR. DAVID WILLIAM DEMELLO (D.O.)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What does DR. DAVID WILLIAM DEMELLO (D.O.) treat or focus on?
Patients typically see DR. DAVID WILLIAM DEMELLO (D.O.) under the specialty Otolaryngology/Facial Plastic Surgery Physician. Clinical services aligned with this taxonomy classification.
What location shows for DR. DAVID WILLIAM DEMELLO (D.O.)?
We surface Clinton Township, Michigan for DR. DAVID WILLIAM DEMELLO (D.O.) based on available NPPES addresses.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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