DEMOS DERMATOLOGY, LLC
NPI 1730804634
Dermatology in West Springfield, MA

Active since October 04, 2022
673 MAIN ST, WEST SPRINGFIELD, MA 01089(413) 739-6611(413) 733-1059 Get Directions Write a Review

NPPES record last updated: September 19, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Sep 19, 2025, Oct 4, 2022 (2 updates tracked since 2022).

About Demos Dermatology, Llc NPPES

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

DEMOS DERMATOLOGY, LLC (NPI 1730804634) is a healthcare organization registered as a dermatology in West Springfield, Massachusetts and active in the NPI registry since October 2022. The organization maintains a secondary practice location in Wilbraham and lists Michael Peter Demos, Owner, as its authorized official.

NPPES Registry Identity

NPI1730804634
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameDEMOS DERMATOLOGY, LLC
Location Address673 MAIN STWest Springfield, MA 01089-3958
Mailing Address673 Main StWest Springfield, MA 01089-3958 · (413) 739-6611 · Fax (413) 733-1059
Fax(413) 733-1059
Organization SubpartNo
Authorized OfficialMichael Peter DemosOwner · (786) 397-3460
Enumeration DateOctober 4, 2022
Last NPPES UpdateSeptember 19, 20252 updates tracked since enumeration
NPPES CertifiedSeptember 19, 2025
✔ NPI 1730804634 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
Definition
A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.
673 MAIN ST, West Springfield, MA 01089

Secondary Practice Location 1

Location 175 Post Office Park Ste 7501Wilbraham, MA 01095-1189 · Phone (413) 279-1622

Other Identifiers 1

Medicaid110198756AMA

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

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Demos Dermatology, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

4

Medicare enrollment records show 4 clinicians reassign Medicare billing to Demos Dermatology, LLC, which bills Medicare for the services they deliver. Of these, 3 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (4)

Dermatology
NPI 1619977402
125 LIBERTY ST STE 403
Springfield, MA 01103
(413) 739-6611
✔ PECOS0.9 mi
Nurse Practitioner
NPI 1871009886
3300 MAIN ST
Springfield, MA 01107
(413) 794-7552
✔ PECOS1.5 mi
Nurse Practitioner
NPI 1922522895
200 SILVER ST UNIT 106
Agawam, MA 01001
(413) 341-5350
✔ PECOS3.0 mi
Dermatology
NPI 1417246653
1611 NW 12TH AVE
Miami, FL 33136
(305) 585-4120
✔ PECOS✔ Accepts Medicare1,205 mi

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

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 Demos Dermatology, LLC's NPI number?

The NPI number for Demos Dermatology, LLC is 1730804634. It was assigned to this organization in the NPPES registry on October 4, 2022.

Where is Demos Dermatology, LLC located?

Demos Dermatology, LLC is located at 673 Main St, West Springfield, MA 01089. The listed phone number is (413) 739-6611.

What is Demos Dermatology, LLC's specialty?

The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.

Is Demos Dermatology, LLC enrolled in Medicare?

Yes. Demos Dermatology, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Demos Dermatology, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians reassign their Medicare billing to Demos Dermatology, LLC, in Dermatology and Nurse Practitioner. A 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 the clinician's services. Of these, 3 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Demos Dermatology, LLC accept?

Health plans from Anthem Blue Cross and Blue Shield list Demos Dermatology, LLC 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.

When was this NPI record last updated?

The NPPES record for Demos Dermatology, LLC was last updated on September 19, 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.