Individual provider Active NPI

Harry G Demeo, MD

  • Gastroenterology Physician
  • Brooklyn, NY
National Provider Identifier
1245313709
Registry record updated Sep 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
159760 Issued in NY
Practice address
9920 4TH Ave
Ste 205
Brooklyn, NY 11209-8328
Phone
(718) 745-0623
Fax
(718) 745-8091
NPI assigned
Oct 20, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2019

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 159760 NY Primary

Addresses

Primary practice location

9920 4TH Ave
Ste 205
Brooklyn, NY 11209-8328

Mailing address

9920 4TH Ave
Ste 205
Brooklyn, NY 11209-8328

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
I20090812000113 NY Practitioner - GastroenterologyPractitioner - Internal Medicine 8426107533 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
GastroenterologyAlso: Internal Medicine
Education
Other, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bay Ridge Gastroenterology, PLLCGroup PAC ID 1658740469, 2 clinicians

Practice addresses (Care Compare)

9920 4TH Ave
Suite 205
Brooklyn, NY 11209-8328
Phone (718) 745-0623

Hospital & facility affiliations

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

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy172
Upper gastrointestinal (GI) endoscopy for acid reflux115

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Bay Ridge Gastroenterology, PLLC Gastroenterology CurrentSince Jun 1, 2022 Accepting new patients
Endoscopic Ambulatory Specialty Center of Bay Ridge Inc PastSince Jan 28, 2003 Accepting new patients

Locations

7601 4th Ave
Ste 1
Brooklyn, NY 11209

9920 4th Ave
Ste 205
Brooklyn, NY 11209
Phone (718) 238-4707

Organizations & group practices 2

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": "1161302400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568160000000",
    "number": "1245313709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9920 4TH AVE",
            "address_2": "STE 205",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112098328"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9920 4TH AVE",
            "address_2": "STE 205",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112098328",
            "telephone_number": "718-745-0623",
            "fax_number": "718-745-8091"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEMEO",
        "first_name": "HARRY",
        "middle_name": "G",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-20",
        "last_updated": "2019-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "NY",
            "license": "159760",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.