Individual provider Active NPI

Demetrios Georgiou, M.D.

  • Cardiovascular Disease Physician
  • Astoria, NY
National Provider Identifier
1083661987
Registry record updated Sep 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
166154 Issued in NY
Practice address
2318 31St St
Astoria, NY 11105-2765
Phone
(718) 204-2200
Fax
(718) 204-2218
NPI assigned
May 27, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 166154 NY Primary
Specialist 174400000X 166154-1 NY

Addresses

Primary practice location

2318 31St St
Astoria, NY 11105-2765

Mailing address

2318 31St St
Astoria, NY 11105-2765
Phone (718) 204-2200

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address dgeorgiou43560@nyumc.direct-ci.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050421000461 NY Practitioner - Cardiovascular Disease (Cardiology) 2466490396 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
Other, 1979
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
New York UniversityGroup PAC ID 1355232422, 5,925 clinicians

Practice addresses (Care Compare)

35 -03
Astoria, NY 11106
Phone (718) 932-2900

550 1St Ave
New York, NY 10016-6402
Phone (212) 263-7300

Hospital & facility affiliations

  • NYU Langone Hospitals Hospital, New York, NY, CCN 330214

Merit-based Incentive Payment System (MIPS)

Final score
90.8 of 100Reported as group
Quality
91.79
Promoting interoperability
100
Improvement activities
40
Cost
75.18

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
166154NYMDCardiovascular Disease Physician

Practice roles (4 of 8)

OrganizationSpecialtyStatusNew patients
Back Kim MD PC Dba Heartvein Nyc Cardiovascular Disease CurrentSince May 1, 2021 Accepting new patients
New York University Cardiovascular Disease CurrentSince Oct 1, 2017 Accepting new patients
New York University Cardiovascular Disease CurrentSince Oct 1, 2017 Accepting new patients
Forest Hills Nuclear Spect Imaging PC Past Accepting new patients

Locations

2318 31st St
Astoria, NY 11105
Phone (718) 267-2766

3503 31st Ave
Astoria, NY 11106
Phone (212) 263-5969

436 E 149th St
Bronx, NY 10455
Phone (212) 226-8000

13668 Roosevelt Ave
Unit 2C2D
Flushing, NY 11354
Phone (212) 226-8000

11241 Queens Blvd
Ste Lla
Forest Hills, NY 11375
Phone (718) 251-8050

550 1st Ave
New York, NY 10016
Phone (212) 263-3293

13303 Jamaica Ave
Richmond Hill, NY 11418
Phone (718) 206-6942

13303 Jamaica Ave
#13292
Richmond Hill, NY 11418
Phone (718) 291-3276

14 Wall St
Fl 9
Wall Street, NY 10005
Phone (646) 501-3224

Networks

  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1148688000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694995200000",
    "number": "1083661987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2318 31ST ST",
            "city": "ASTORIA",
            "state": "NY",
            "postal_code": "111052765",
            "telephone_number": "718-204-2200",
            "fax_number": "718-204-2218"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2318 31ST ST",
            "city": "ASTORIA",
            "state": "NY",
            "postal_code": "111052765",
            "telephone_number": "718-204-2200",
            "fax_number": "718-204-2218"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GEORGIOU",
        "first_name": "DEMETRIOS",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-27",
        "last_updated": "2023-09-18",
        "certification_date": "2023-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NY",
            "license": "166154",
            "primary": true
        },
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": "166154-1",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "dgeorgiou43560@nyumc.direct-ci.com",
            "affiliation": "N",
            "address_1": "2318 31st St",
            "city": "Astoria",
            "state": "NY",
            "country_code": "US",
            "postal_code": "111052765",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Astoria, NY

Sources for this page

Verify at the official NPI Registry.