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SOPHIA DEMUYNCK M.D.
NPI 1104562032
Pediatrics - Pediatric Critical Care Medicine in Philadelpha, PA

Active since May 12, 2022PECOS Enrolled
3401 CIVIC CENTER BLVD, DIVISION OF PEDIATRIC CRITICAL CARE MEDICINE, PHILADELPHA, PA 19104(800) 879-2467 Get Directions Write a Review

NPPES record last updated: June 30, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 30, 2025, Mar 9, 2023, May 19, 2022 and 1 more (4 updates tracked since 2022).

About Sophia Demuynck M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SOPHIA DEMUYNCK M.D. (NPI 1104562032) is an individual pediatric critical care medicine provider in Philadelpha, Pennsylvania, licensed in Pennsylvania (MT226016) and active in the NPI registry since May 2022. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1104562032
Entity TypeIndividualFemale
Primary Taxonomy2080P0203X
Provider Legal NameSOPHIA DEMUYNCKCredential: M.D.
Location Address3401 CIVIC CENTER BLVD, DIVISION OF PEDIATRIC CRITICAL CARE MEDICINEPhiladelpha, PA 19104
Mailing Address3401 Civic Center Blvd, Division Of Pediatric Critical Care MedicinePhiladelpha, PA 19104 · (800) 879-2467
Phone(800) 879-2467
Sole ProprietorNo
Enumeration DateMay 12, 2022
Last NPPES UpdateJune 30, 20254 updates tracked since enumeration
NPPES CertifiedJune 30, 2025
✔ NPI 1104562032 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Pediatric Critical Care MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2080P0203X
License✔ Licensed in PA · MT226016
Definition
A pediatrician expert in advanced life support for children from the term or near-term neonate to the adolescent. This competence extends to the critical care management of life-threatening organ system failure from any cause in both medical and surgical patients and to the support of vital physiological functions. This specialist may have administrative responsibilities for intensive care units and also facilitates patient care among other specialists.
3401 CIVIC CENTER BLVD, Philadelpha, PA 19104
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Sophia Demuynck M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

AARON DORFMAN M.D.
Pediatrics (Pediatric Cardiology)
3401 CIVIC CENTER BLVD, CHILDREN'S HOSPITAL OF PHILADELPHIA - CARDIOLOGY
PHILADELPHIA, PA 19104
Philadelphia County (215) 590-4040
MS. NICOLE MARIE KOEPKE CRNP
Nurse Practitioner (Pediatrics)
3401 CIVIC CENTER BLVD, CHILDREN'S HOSPITAL OF PHILADELPHIA - EMERGENCY MED
PHILADELPHIA, PA 19104
Philadelphia County (215) 590-1944
DR. CASSANDRA ALYS LIGH MD
Surgery (Plastic and Reconstructive Surgery)
3401 CIVIC CENTER BLVD
PHILADELPHIA, PA 19104
Philadelphia County (215) 590-2208
DR. PREETI SOI
Psychiatry & Neurology (Child & Adolescent Psychiatry)
3401 CIVIC CENTER BLVD
PHILADELPHIA, PA 19104
Philadelphia County (215) 590-7555
ROSALIND USHER M.D.
Pediatrics (Developmental - Behavioral Pediatrics)
3401 CIVIC CENTER BLVD, DIVISION OF DEVELOPMENTAL AND BEHAVIORAL PEDIATRICS
PHILADELPHIA, PA 19104
Philadelphia County (215) 590-6336
DR. MATTHEW DAVID SCHREIER MD
Pediatrics (Pediatric Cardiology)
3401 CIVIC CENTER BLVD
PHILADELPHIA, PA 19104
Philadelphia County (215) 590-1000
DR. TERRENCE CALDWELL JR. PHARMD
Pharmacist (Pediatrics)
3401 CIVIC CENTER BLVD
PHILADELPHIA, PA 19104
Philadelphia County (215) 590-1000
ALYSSA STIEFEL CRNP
Nurse Practitioner (Pediatrics)
3401 CIVIC CENTER BLVD
PHILADELPHIA, PA 19104
Philadelphia County (215) 590-1000

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Sophia Demuynck's NPI number?

The NPI number for Sophia Demuynck is 1104562032. It was assigned to this individual provider in the NPPES registry on May 12, 2022.

Where is Sophia Demuynck located?

Sophia Demuynck practices at 3401 Civic Center Blvd Division Of Pediatric Critical Care Medicine, Philadelpha, PA 19104. The listed phone number is (800) 879-2467.

What is Sophia Demuynck's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Critical Care Medicine, with taxonomy code 2080P0203X.

Is Sophia Demuynck enrolled in Medicare?

Yes. Sophia Demuynck is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Sophia Demuynck was last updated on June 30, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.