DR. OLGA DEMIDOVA DO
NPI 1174915987
Dermatology - MOHS-Micrographic Surgery in Tampa, FL
About Dr. Olga Demidova Do NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. OLGA DEMIDOVA DO (NPI 1174915987) is an individual mohs-micrographic surgery provider in Tampa, Florida, licensed in Ohio (34.01294) and active in the NPI registry since March 2015. She is enrolled in Medicare PECOS, is affiliated with Metrohealth System, and is a graduate of Ohio University, College Of Osteopathic Medicine (2015).
NPPES Registry Identity
Specialties & Licenses 2
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Dr. Olga Demidova Do is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignments
2Medicare enrollment records show Olga Demidova reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Tampa, FL 33612
- Reassigned Medicare billing, Florida enrollment
Cleveland, OH 44109
- Reassigned Medicare billing, Ohio enrollment
- 2,147 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 2
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Metrohealth System
Acute Care Hospitals · Cleveland, OHPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 33612 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 2
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
TAMPA, FL 33612
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 Olga Demidova's NPI number?
The NPI number for Olga Demidova is 1174915987. It was assigned to this individual provider in the NPPES registry on March 3, 2015.
Where is Olga Demidova located?
Olga Demidova practices at 9724 N Armenia Ave Ste 300, Tampa, FL 33612. The listed phone number is (216) 804-5996.
What is Olga Demidova's specialty?
The primary specialty registered for this NPI is Dermatology, specializing in MOHS-Micrographic Surgery, with taxonomy code 207ND0101X.
Is Olga Demidova enrolled in Medicare?
Yes. Olga Demidova is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Olga Demidova's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Olga Demidova reassigns Medicare benefits to 2 organizations: Dermatologist LLC (Tampa, FL) and The Metrohealth System (Cleveland, OH). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Olga Demidova's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Olga Demidova accept?
Health plans from CareSource, Molina Healthcare and UnitedHealthcare list Olga Demidova as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
Is Olga Demidova affiliated with any hospitals?
According to CMS data, Olga Demidova is affiliated with Metrohealth System.
When was this NPI record last updated?
The NPPES record for Olga Demidova was last updated on June 4, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Dr. Olga Demidova, DO · NPI 1174915987
MOHS-Micrographic Surgery physician in Tampa, Florida. Individual provider, active in the CMS NPPES registry since March 3, 2015.
## Identity
- **NPI:** 1174915987 (Entity type: Individual)
- **Enumerated:** March 3, 2015
- **Primary specialty:** Dermatology - MOHS-Micrographic Surgery · taxonomy 207ND0101X
- **State license:** 34.01294 (Ohio)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 9724 N ARMENIA AVE STE 300, Tampa, FL 33612-7550
- **Phone:** (216) 804-5996 · **Fax:** (216) 758-4783
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Dermatologist LLC (NPI 1336899061, Tampa, FL); The Metrohealth System (NPI 1053353896, Cleveland, OH) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Ohio University, College Of Osteopathic Medicine, class of 2015
## Record status
- **NPPES last updated:** June 4, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1174915987) · Data from the CMS NPPES public registry.