Individual provider Active NPI

Chris Demetriou, M.D.

  • Gastroenterology Physician
  • Garden City, NY
National Provider Identifier
1194806075
Registry record updated May 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
221114-1 Issued in NY
Practice address
623 Stewart Ave Ste 106
Garden City, NY 11530-4771
Phone
(516) 650-3355
NPI assigned
Oct 18, 2006
Last updated
May 4, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 4, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X 221114-1 NY Primary

Addresses

Primary practice location

623 Stewart Ave Ste 106
Garden City, NY 11530-4771

Mailing address

623 Stewart Ave Ste 106
Garden City, NY 11530-4771
Phone (516) 650-3355

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
I20050923000604 NY Practitioner - GastroenterologyPractitioner - Internal Medicine 1355375841 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
GastroenterologyAlso: Internal Medicine
Education
State University of New York at Stony Brook, School of Medicine, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Chris Demetriou MD PCGroup PAC ID 4284816927, 6 clinicians

Practice addresses (Care Compare)

623 Stewart Ave
Suite 106
Garden City, NY 11530-4771
Phone 5166503355109

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy178
Upper gastrointestinal (GI) endoscopy for acid reflux185

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
221114-1NYMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Star Suites LLC CurrentSince Feb 11, 2015 Accepting new patients
Chris Demetriou MD PC Gastroenterology CurrentSince Jan 1, 2011 Accepting new patients

Locations

1205 Franklin Ave
Ste 150
Garden City, NY 11530
Phone (516) 222-0067

623 Stewart Ave
Ste 106
Garden City, NY 11530
Phone (516) 351-9264

Interoperability endpoints

  • Direct secure messaging: cdemetrioumd@cdmp-ny.direct.office.nextgen.com
  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations & group practices 3

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

Hospital & facility affiliations 1

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": "1161129600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746316800000",
    "number": "1194806075",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "623 STEWART AVE STE 106",
            "city": "GARDEN CITY",
            "state": "NY",
            "postal_code": "115304771",
            "telephone_number": "516-650-3355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "623 STEWART AVE STE 106",
            "city": "GARDEN CITY",
            "state": "NY",
            "postal_code": "115304771",
            "telephone_number": "516-650-3355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEMETRIOU",
        "first_name": "CHRIS",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-18",
        "last_updated": "2025-05-04",
        "certification_date": "2025-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "NY",
            "license": "221114-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Garden City, NY

Sources for this page

Verify at the official NPI Registry.