MATTHEW GREGORY DEMETRIOUS DO
NPI 1295477784
Student in an Organized Health Care Education/Training Program in Birmingham, AL

Q: What is Matthew Demetrious's NPI number?

The NPI number for Matthew Demetrious is 1295477784. It was assigned to this individual provider in the NPPES registry on April 13, 2022.

Q: What is Matthew Demetrious's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Active since April 13, 2022PECOS Enrolled

3690 GRANDVIEW PKWY, BIRMINGHAM, AL 35243(205) 971-5052 Get Directions Write a Review

NPPES record last updated: June 29, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Matthew Gregory Demetrious Do NPPES

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

MATTHEW GREGORY DEMETRIOUS DO (NPI 1295477784) is an individual student in an organized health care education/training program in Birmingham, Alabama and active in the NPI registry since April 2022. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1295477784

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NameMATTHEW GREGORY DEMETRIOUSCredential: DO

Location Address3690 GRANDVIEW PKWYBirmingham, AL 35243-3326

Mailing Address3690 Grandview PkwyBirmingham, AL 35243-3326 · (205) 971-5052

Phone(205) 971-5052

Sole ProprietorNo

Enumeration DateApril 13, 2022

Last NPPES UpdateJune 29, 2026

NPPES CertifiedJune 29, 2026

✔ NPI 1295477784 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

3690 GRANDVIEW PKWY, Birmingham, AL 35243

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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)

Matthew Gregory Demetrious Do 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.

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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.

DR. BILLY ALEXANDER ESSMAN DO

Student in an Organized Health Care Education/Training Program