Demetrios Markouizos, M.D.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

170828 Issued in NY

Practice address

3014 37TH St
Astoria, NY 11103-3809

Phone

(718) 278-9500

Fax

(718) 278-2430

NPI assigned

Feb 5, 2007

Last updated

Jul 28, 2021By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

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

Specialty

Pediatric Medicine

Education

Other, 1983

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Networks

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

Interoperability endpoints

• Direct secure messaging: demetriosmarkouizos@nslijmedgr.allscriptsdirect.net

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.

• North Shore Lij Medical Group at North Nassau, PC

  • Cardiovascular Disease Physician
  • Glen Cove, NY
  • NPI 1700175270
  Medicare reassignment NPD
• Pediatric Healthcare of Queens PC

  • Pediatrics Physician
  • Astoria, NY
  • NPI 1003952235
  NPD (past) Authorized official

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

{
    "created_epoch": "1170633600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1627430400000",
    "number": "1457490963",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3014 37TH ST",
            "city": "ASTORIA",
            "state": "NY",
            "postal_code": "111033809",
            "telephone_number": "718-278-9500",
            "fax_number": "718-278-2430"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3014 37TH ST",
            "city": "ASTORIA",
            "state": "NY",
            "postal_code": "111033809",
            "telephone_number": "718-278-9500",
            "fax_number": "718-278-2430"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARKOUIZOS",
        "first_name": "DEMETRIOS",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-05",
        "last_updated": "2021-07-28",
        "certification_date": "2021-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080A0000X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Adolescent Medicine",
            "state": "NY",
            "license": "170828",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NY",
            "license": "170828",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01052079",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Marianne Hedl, Otr, CHT, PLLC
• Rachel Marin
• Kaitlyn Marie Marinella
• John Mattehew Marino
• Marko Pavich Mental Health Counseling, PLLC
• Kelsey Marksteiner, R.D.
• Brooke Marlin, LCSW
• Freya Raffaella Marone, M.D.
• Michael Marrera, LMT
• Janice Marroquin

• Pediatrics Physician in Astoria, NY
• Providers in Astoria, NY by specialty
• Pediatrics Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.