DR. JENNIFER LEE DEMERTZIS MD NPI 1245326966

NPI Information

  • NPI: 1245326966
  • Provider Name: DR. JENNIFER LEE DEMERTZIS, MD
  • Classification: Radiology - 2085R0202X
  • Specialization: Diagnostic Radiology
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 232 S WOODS MILL RD
    CHESTERFIELD, MO
    ZIP 63017
  • Phone: (314) 434-1500

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NPI Details

DR. Jennifer Lee Demertzis, MD is a diagnostic radiology radiology in Chesterfield, MO with 22 years of experience. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. DR. Jennifer Lee Demertzis, MD NPI is 1245326966. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: EMORY UNIVERSITY SCHOOL OF MEDICINE
Graduation Year:2003

The provider's business location address is:

232 S WOODS MILL RD
CHESTERFIELD, MO
ZIP 63017-406
Phone: (314) 434-1500
Fax: (314) 548-4748

The NPI 1245326966 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Mri scan of leg joint without contrast (HCPCS:73721)
  • Mri scan of arm joint without contrast (HCPCS:73221)
  • X-ray of chest, 1 view (HCPCS:71045)
  • Screening mammography (HCPCS:77067)
  • Screening 3d breast mammography (HCPCS:77063)
  • Ct scan of chest without contrast (HCPCS:71250)
  • Fluoroscopic guidance for needle placement (HCPCS:77002)
  • Ct scan head or brain without contrast (HCPCS:70450)
  • Mri scan of pelvis before and after contrast (HCPCS:72197)
  • Mri scan of leg without contrast (HCPCS:73718)
  • X-ray of chest, 2 views (HCPCS:71046)
  • Ct scan of abdomen and pelvis without contrast (HCPCS:74176)
  • Ct scan of leg without contrast (HCPCS:73700)
  • Aspiration and/or injection of fluid from large joint (HCPCS:20610)
  • Ct scan of arm without contrast (HCPCS:73200)
  • X-ray of hip, 2-3 views (HCPCS:73502)
  • Ct scan of abdomen and pelvis with contrast (HCPCS:74177)
  • Mri scan of pelvis without contrast (HCPCS:72195)
  • X-ray of lower and sacral spine, 2-3 views (HCPCS:72100)
  • Ct scan of pelvis without contrast (HCPCS:72192)
  • X-ray of shoulder, minimum of 2 views (HCPCS:73030)
  • Ct scan of blood vessels of chest with contrast (HCPCS:71275)
  • X-ray of knee, 4 or more views (HCPCS:73564)
  • Mri scan of arm joint with contrast (HCPCS:73222)
  • Mri scan of leg before and after contrast (HCPCS:73720)
  • Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) (HCPCS:G0279)
  • Mri scan of leg joint without contrast (HCPCS:73721)
  • X-ray of foot, minimum of 3 views (HCPCS:73630)
  • Mri scan of arm without contrast (HCPCS:73218)
  • X-ray of lower leg, 2 views (HCPCS:73590)
  • Limited ultrasound scan of 1 breast (HCPCS:76642)
  • Mri scan of leg joint with contrast (HCPCS:73722)
  • Injection of contrast for imaging of shoulder joint (HCPCS:23350)
  • X-ray of wrist, minimum of 3 views (HCPCS:73110)
  • Diagnostic mammography of 1 breast (HCPCS:77065)
  • X-ray of hand, minimum of 3 views (HCPCS:73130)
  • X-ray of upper spine, 2-3 views (HCPCS:72040)
  • Ct scan of chest with contrast (HCPCS:71260)
  • X-ray of ankle, minimum of 3 views (HCPCS:73610)

The enumeration date for this NPI number is 10/4/2006 and was last updated on 10/18/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12085R0202XRadiologyDiagnostic Radiology2008007442MISSOURIYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1ENROLLEDMEDICAIDILLINOIS
21245326966MEDICAIDMISSOURI
32008007442OTHERMISSOURISTATE LICENSE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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