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THEODORE DEMARTINI M.D.
NPI 1508009176
Pediatrics - Pediatric Critical Care Medicine in Hershey, PA

Active since April 13, 2009PECOS EnrolledAccepts Medicare Assignment
500 UNIVERSITY DR, HERSHEY, PA 17033(800) 243-1455 Get Directions Write a Review

NPPES record last updated: July 3, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Theodore Demartini M.d. NPPES

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

THEODORE DEMARTINI M.D. (NPI 1508009176) is an individual pediatric critical care medicine provider in Hershey, Pennsylvania, licensed in Pennsylvania (MD454779) and active in the NPI registry since April 2009. He is enrolled in Medicare PECOS and is a graduate of University Of Texas Medical Branch At Galveston (2009).

NPPES Registry Identity

NPI1508009176
Entity TypeIndividualMale
Primary Taxonomy2080P0203X
Provider Legal NameTHEODORE DEMARTINICredential: M.D.
Location Address500 UNIVERSITY DRHershey, PA 17033-2360
Mailing Address500 University DrHershey, PA 17033-2360 · (800) 243-1455
Phone(800) 243-1455
Sole ProprietorNo
Medical School CMSUniversity Of Texas Medical Branch At GalvestonGraduated 2009
Enumeration DateApril 13, 2009
Last NPPES UpdateJuly 3, 2015
✔ NPI 1508009176 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 · MD454779
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.
500 UNIVERSITY DR, Hershey, PA 17033
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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 and accepts Medicare assignment

Theodore Demartini M.d. 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.

PECOS PAC ID8729301106
PECOS Enrollment IDI20150818004962
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.

MR. DANIEL MICHAEL WEISS I PA-C
Physician Assistant
500 UNIVERSITY DR
HERSHEY, PA 17033
Dauphin County (717) 531-7299
NICOLE SWALLOW M.D.
Internal Medicine
500 UNIVERSITY DR, H088
HERSHEY, PA 17033
Dauphin County (717) 531-1692
NEERAV GOYAL M.D.
Otolaryngology
500 UNIVERSITY DR
HERSHEY, PA 17033
Dauphin County (717) 531-8521
KARIMA C FITZGERALD M.D.
Surgery (Trauma Surgery)
500 UNIVERSITY DR
HERSHEY, PA 17033
Dauphin County (717) 531-8887
DR. ANTHONY SIMON BONAVIA M.D.
Anesthesiology (Critical Care Medicine)
500 UNIVERSITY DR, BOX 3951, DAVISON BLDG, TRENT DRIVE
HERSHEY, PA 17033
Dauphin County (717) 531-8521
DR. HIROKO SHIKE MD
Pathology (Clinical Pathology/Laboratory Medicine)
500 UNIVERSITY DR, HERSHEY MEDICAL CENTER
HERSHEY, PA 17033
Dauphin County (717) 531-8615
MARIUM TARIQ M.D.
Family Medicine
500 UNIVERSITY DR
HERSHEY, PA 17033
Dauphin County (717) 531-8521
KANTHI BANGALORE KRISHNA MBBS
Pediatrics (Pediatric Endocrinology)
500 UNIVERSITY DR
HERSHEY, PA 17033
Dauphin County (800) 243-1455

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 Theodore Demartini's NPI number?

The NPI number for Theodore Demartini is 1508009176. It was assigned to this individual provider in the NPPES registry on April 13, 2009.

Where is Theodore Demartini located?

Theodore Demartini practices at 500 University Dr, Hershey, PA 17033. The listed phone number is (800) 243-1455.

What is Theodore Demartini's specialty?

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

Is Theodore Demartini enrolled in Medicare?

Yes. Theodore Demartini 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.

When was this NPI record last updated?

The NPPES record for Theodore Demartini was last updated on July 3, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years 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.