DEMITRIS P HALDEOS (MD) – Preventive Medicine/Occupational Environmental Medicine Physician, NPI 1780978601
Preventive Medicine/Occupational Environmental Medicine Physician
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Doctor Profile
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Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for DEMITRIS P HALDEOS (MD)
1927 25th Ave E
Seattle, WA 981123009
Phone: (631) 949-1803
Type: Location
4800 College St SE
Lacey, WA 985034389
Phone: (360) 493-4500
Fax: (360) 412-6510
Type: Location
22 BRAMHALL ST
PORTLAND, ME 041023134
Phone: (207) 662-7060
Fax: (207) 662-7066
Type: Mailing
3223 1ST AVE S
SEATTLE, WA 981341850
Phone: (207) 662-7060
Fax: (207) 662-7066
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: 2024-06-26
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 |
|---|---|---|---|---|
| I20190328002379 | I | Preventive Medicine | WA | TBD |
| I20240626001973 | I | Preventive Medicine | OR | 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 98112)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Emergency Medicine | CA | |
| Physician Assistant | WA | |
| Nurse Practitioner | WA | |
| Nurse Practitioner | TX | |
| Emergency Medicine | WA | |
| - | WA | |
| Family Practice | WA | |
| - | NY | |
| - | WA | |
| - | WA |
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