Individual provider Active NPI

Abraham Demoz, M.D.

  • Internal Medicine Physician
  • Brooklyn, NY
National Provider Identifier
1326110016
Registry record updated May 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
215203 Issued in NY
Practice address
592 Rockaway Ave
Brooklyn, NY 11212-5539
Phone
(718) 345-6366
NPI assigned
Nov 15, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 8, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 215203 NY Primary
Emergency Medicine Physician 207P00000X 215203 NY

Addresses

Primary practice location

592 Rockaway Ave
Brooklyn, NY 11212-5539

Mailing address

9408 Flatlands Ave
1St Floor
Brooklyn, NY 11236
Phone (718) 272-0977

Other practice location 1

9408 Flatlands Ave
1st Floor
Brooklyn, NY 11236
Phone (718) 272-0977

Other identifiers 1

IdentifierTypeStateIssuer
01712427MedicaidNY

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
I20221110000087 NY Practitioner - Internal Medicine 9032110853 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

408 Rockaway Ave
Brooklyn, NY 11212-5539

592 Rockaway Ave
Brooklyn, NY 11212-5539
Phone (718) 345-5000

Merit-based Incentive Payment System (MIPS)

Final score
91.68 of 100Reported as group
Quality
88.38
Promoting interoperability
78
Improvement activities
40
Cost
68.89

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
000365NYMDMental Health Counselor
215203NYMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Brownsville Community Development Corporation CurrentSince Feb 1, 2023 Accepting new patients
Brownsville Community Development Corporation CurrentSince Feb 1, 2023 Accepting new patients
Caritas Emergency Medical Services, PC Emergency Medicine Past Accepting new patients
CMC Radiological Services PC Past Accepting new patients
Caritas Emergency Medical Services, PC Emergency Medicine Past Accepting new patients
CMC Radiological Services PC Past Accepting new patients

Locations

592 Rockaway Ave
Brooklyn, NY 11212
Phone (718) 345-5000

259 Bristol St
Fl 3
Brooklyn, NY 11212
Phone (718) 342-0060

Networks

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

Interoperability endpoints

  • Direct secure messaging: abraham.demoz.1@13126.direct.athenahealth.com

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1163548800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715126400000",
    "number": "1326110016",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9408 FLATLANDS AVE",
            "address_2": "1ST FLOOR",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "11236",
            "telephone_number": "718-272-0977",
            "fax_number": "718-272-1088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "592 ROCKAWAY AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112125539",
            "telephone_number": "718-345-6366"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9408 Flatlands Ave",
            "address_2": "1st Floor",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "11236",
            "country_code": "US",
            "telephone_number": "718-272-0977",
            "fax_number": "718-272-1088",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DEMOZ",
        "first_name": "ABRAHAM",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-15",
        "last_updated": "2024-05-08",
        "certification_date": "2024-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "215203",
            "primary": true
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NY",
            "license": "215203",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01712427",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.