Individual provider Active NPI

Demetra A. Vounas, M.D.

  • Internal Medicine Physician
  • Auburn, NY
National Provider Identifier
1477533123
Registry record updated Jan 29, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
172162-1 Issued in NY
Practice address
37 W Garden St
Suite 201
Auburn, NY 13021-2662
Phone
(315) 567-0777
Fax
(315) 702-8393
NPI assigned
Jan 19, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 172162-1 NY Primary

Addresses

Primary practice location

37 W Garden St
Suite 201
Auburn, NY 13021-2662

Mailing address

37 W Garden St
Suite 201
Auburn, NY 13021-2662
Phone (315) 567-0777

Other identifiers 1

IdentifierTypeStateIssuer
01191937MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
172162-1NYMDInternal Medicine Physician

NPI Registry JSON

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

{
    "created_epoch": "1137628800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1422489600000",
    "number": "1477533123",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "37 W GARDEN ST",
            "address_2": "SUITE 201",
            "city": "AUBURN",
            "state": "NY",
            "postal_code": "130212662",
            "telephone_number": "315-567-0777",
            "fax_number": "315-702-8393"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "37 W GARDEN ST",
            "address_2": "SUITE 201",
            "city": "AUBURN",
            "state": "NY",
            "postal_code": "130212662",
            "telephone_number": "315-567-0777",
            "fax_number": "315-702-8393"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VOUNAS",
        "first_name": "DEMETRA",
        "middle_name": "A.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-19",
        "last_updated": "2015-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "172162-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01191937",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Auburn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2015; 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.