Demetrios Gonis, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

ME53510 Issued in FL

Practice address

7025 N Highway 1
Cocoa, FL 32927-5092

Phone

(321) 305-6965

NPI assigned

Oct 28, 2005

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Demetrios Gonis Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Demetrios Gonis Inc.

  • Urgent Care Clinic/Center
  • Cape Coral, FL
  • NPI 1497046957
  Authorized official Same address or phone
• Medical Pavilion Clinc

  • Preferred Provider Organization
  • Port Charlotte, FL
  • NPI 1063671683
  NPD (past)
• Prime Urgent Care of Fla LLC

  • Urgent Care Clinic/Center
  • Cape Coral, FL
  • NPI 1508042557
  NPD (past)

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

{
    "created_epoch": "1130457600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702339200000",
    "number": "1316937485",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "290 NICHOLAS PKWY NW",
            "address_2": "SUITE 1",
            "city": "CAPE CORAL",
            "state": "FL",
            "postal_code": "339913804",
            "telephone_number": "239-573-1152",
            "fax_number": "239-573-1360"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7025 N HIGHWAY 1",
            "city": "COCOA",
            "state": "FL",
            "postal_code": "329275092",
            "telephone_number": "321-305-6965"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONIS",
        "first_name": "DEMETRIOS",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-10-28",
        "last_updated": "2023-12-12",
        "certification_date": "2023-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME53510",
            "primary": true
        },
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": "FL",
            "license": "ME53510",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "07411",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DEMETRIOS",
            "last_name": "GONIS",
            "credential": "INC.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Lee Gilbert
• Micah Ramon Girard, O.D.
• Teneka Glasco, LPN
• Melanie Goff, LCSW
• Andrea Mary Gollinger, BCBA, LBA
• Iveth Magaly Gonzalez, DDS
• Tyrese Gonzalez
• Rachel Gorman
• Stacie N/a Gould
• Julie Anne Graf

• Internal Medicine Physician in Cocoa, FL
• Providers in Cocoa, FL by specialty
• Internal Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.