DEMETRIOS DEMETRIADES MD
NPI 1659301620
Surgery - Surgical Critical Care in Los Angeles, CA

Q: What is Demetrios Demetriades's NPI number?

The NPI number for Demetrios Demetriades is 1659301620. It was assigned to this individual provider in the NPPES registry on July 4, 2006.

Q: What is Demetrios Demetriades's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Surgical Critical Care, with taxonomy code 2086S0102X.

Active since July 04, 2006PECOS Enrolled

1500 SAN PABLO ST FL 7, LOS ANGELES, CA 90033(323) 409-7761 Get Directions Write a Review

NPPES record last updated: November 27, 2023. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Sep 11, 2020, Feb 28, 2020 (2 updates tracked since 2020).

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About Demetrios Demetriades Md NPPES

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

DEMETRIOS DEMETRIADES MD (NPI 1659301620) is an individual surgical critical care provider in Los Angeles, California, licensed in California (G53404) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1659301620

Entity TypeIndividualMale

Primary Taxonomy2086S0102X

Provider Legal NameDEMETRIOS DEMETRIADESCredential: MD

Location Address1500 SAN PABLO ST FL 7Los Angeles, CA 90033-5313

Mailing AddressPo Box 31309Los Angeles, CA 90031-0309 · (323) 409-7761

Phone(323) 409-7761

Sole ProprietorNo

Enumeration DateJuly 4, 2006

Last NPPES UpdateNovember 27, 20232 updates tracked since enumeration

NPPES CertifiedSeptember 11, 2020

✔ NPI 1659301620 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgery · Surgical Critical CareAllopathic & Osteopathic Physicians

Taxonomy Code2086S0102X

License✔ Licensed in CA · G53404

Definition

A surgeon with expertise in the management of the critically ill and postoperative patient, particularly the trauma victim, who specializes in critical care medicine diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists.

1500 SAN PABLO ST FL 7, Los Angeles, CA 90033

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Demetrios Demetriades Md 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.

Medicare Billing Reassignment

Medicare enrollment records show Demetrios Demetriades reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Usc Care Medical Group, Inc

Same address

General Practice

1520 SAN PABLO ST
Los Angeles, CA 90033

Reassigned Medicare billing, California enrollment
2,445 clinicians in this Medicare group

NPI 1902846306 (323) 442-5955

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 14

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

MATTHEW DIARMUID WIEPKING MD

Surgery (Surgical Critical Care)