DR. PIERCE HAMILTON MEDERIOS DDS
NPI 1396550380
Oral & Maxillofacial Surgery in Urbana, IL

Q: What is Pierce Mederios's NPI number?

The NPI number for Pierce Mederios is 1396550380. It was assigned to this individual provider in the NPPES registry on February 8, 2025.

Q: What is Pierce Mederios's specialty?

The primary specialty registered for this NPI is Oral & Maxillofacial Surgery with taxonomy code 204E00000X.

Q: When was this NPI record last updated?

The NPPES record for Pierce Mederios was last updated on June 25, 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.

Active since February 08, 2025PECOS Enrolled

611 W PARK ST, URBANA, IL 61801(217) 326-1297 Get Directions Write a Review

NPPES record last updated: June 25, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jun 25, 2025, Jun 3, 2025, Feb 8, 2025 (3 updates tracked since 2025).

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About Dr. Pierce Hamilton Mederios Dds NPPES

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

DR. PIERCE HAMILTON MEDERIOS DDS (NPI 1396550380) is an individual oral & maxillofacial surgery provider in Urbana, Illinois, licensed in Illinois (018.002301) and active in the NPI registry since February 2025. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1396550380

Entity TypeIndividualMale

Primary Taxonomy204E00000X

Provider Legal NameDR. PIERCE HAMILTON MEDERIOSCredential: DDS

Location Address611 W PARK STUrbana, IL 61801-2501

Mailing Address611 W Park StUrbana, IL 61801-2501

Phone(217) 326-1297

Sole ProprietorYes

Enumeration DateFebruary 8, 2025

Last NPPES UpdateJune 25, 20253 updates tracked since enumeration

NPPES CertifiedJune 25, 2025

✔ NPI 1396550380 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOral & Maxillofacial SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code204E00000X

License✔ Licensed in IL · 018.002301

Definition

Oral and maxillofacial surgeons are trained to recognize and treat a wide spectrum of diseases, injuries and defects in the head, neck, face, jaws and the hard and soft tissues of the oral and maxillofacial region. They are also trained to administer anesthesia, and provide care in an office setting. They are trained to treat problems such as the extraction of wisdom teeth, misaligned jaws, tumors and cysts of the jaw and mouth, and to perform dental implant surgery.

611 W PARK ST, Urbana, IL 61801

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Pierce Hamilton Mederios Dds 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.

DR. UDAY BHASKAR KANAKADANDI MD

Internal Medicine (Interventional Cardiology)

611 W PARK ST, HVI
URBANA, IL 61801

Champaign County (217) 383-3110

DR. VIKAS DESAI MD

Urology