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NPI Code Detail

MEDICARE: JAMES P DEMETRIOU MD

MEDICARE: JAMES P DEMETRIOU MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Q00000XFamily Medicine Physician2025049483MO

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1447298583
Entity Type Code : Individual
Provider Name (Legal Business Name) : JAMES P DEMETRIOU MD
Provider Business Mailing Address
First Line : 6101 BLUE LAGOON DR STE 200
Second Line :
City : MIAMI
State : FL
Zip : 33126-3168
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 19401 E 39TH ST S
Second Line :
City : INDEPENDENCE
State : MO
Zip : 64057-2308
Country : US
Telephone Number : 816-490-4277
Fax Number : 855-446-7160
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/02/2006
Last Update Date : 02/13/2026

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