DR. ELIAS DEMISSIE DDS
NPI 1962790592
Dentist in Los Angeles, CA
About Dr. Elias Demissie Dds NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. ELIAS DEMISSIE DDS (NPI 1962790592) is an individual dentist in Los Angeles, California, licensed in California (61816) and active in the NPI registry since July 2011. He is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses 2
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Dr. Elias Demissie Dds is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Elias Demissie reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Los Angeles, CA 90059
- Reassigned Medicare billing, California enrollment
- Medicare enrollment name: St. John's Community Health
- 404 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 90002 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
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 Elias Demissie's NPI number?
The NPI number for Elias Demissie is 1962790592. It was assigned to this individual provider in the NPPES registry on July 18, 2011.
Where is Elias Demissie located?
Elias Demissie practices at 10300 Compton Ave, Los Angeles, CA 90002. The listed phone number is (323) 357-6600.
What is Elias Demissie's specialty?
The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.
Is Elias Demissie enrolled in Medicare?
Yes. Elias Demissie is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Elias Demissie's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Elias Demissie reassigns Medicare benefits to St. Johns Community Health (Los Angeles, CA). The 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 Elias Demissie's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Elias Demissie accept?
Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas, Humana and Renaissance Dental list Elias Demissie 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 Elias Demissie was last updated on December 19, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.
# Dr. Elias Demissie, DDS · NPI 1962790592
Dentist provider in Los Angeles, California. Individual provider, active in the CMS NPPES registry since July 18, 2011.
## Identity
- **NPI:** 1962790592 (Entity type: Individual)
- **Enumerated:** July 18, 2011
- **Primary specialty:** Dentist · taxonomy 122300000X
- **State license:** 61816 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 10300 COMPTON AVE, Los Angeles, CA 90002-3628
- **Phone:** (323) 357-6600 · **Fax:** (323) 771-7722
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health
- **Bills Medicare through:** St. Johns Community Health (NPI 1174225429, Los Angeles, CA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** December 19, 2016
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Source: [NPI Profile](https://npiprofile.com/npi/1962790592) · Data from the CMS NPPES public registry.