Active NPI
Demir Ahmetovic, CRNA
- Certified Registered Nurse Anesthetist
- Syracuse, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 145722
- Practice address
- 736 Irving Ave
Syracuse, NY 13210-1602 - Phone
- (315) 470-7111
- NPI assigned
- Nov 3, 2022
- Last updated
- Jun 29, 2026
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 145722 | NY | Primary |
Addresses
Primary practice location
736 Irving Ave
Syracuse, NY 13210-1602
Mailing address
338 Jamesville Ave Apt 4a
Syracuse, NY 13210-3268
Phone (585) 298-3023
Other practice location 1
110 W 6th St
Oswego, NY 13126-2598
Phone (315) 349-5511
Other practice location 2
5801 E Taft Rd
Syracuse, NY 13212-3291
Phone (315) 418-4140
Other practice location 3
725 Irving Ave
Syracuse, NY 13210-1603
Phone (315) 470-7994
Other practice location 4
475 Irving Ave
Syracuse, NY 13210-1756
Phone (315) 475-8401
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
45 Reade PL
Poughkeepsie, NY 12601-3947
Phone (845) 454-8500
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 145722 | NY | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Oswego Hospital | Current | Accepting new patients | |
| U of R Anesthesiology Group | Current | Accepting new patients | |
| North American Partners in Anesthesia LLP | Current | Accepting new patients | |
| Oswego Hospital | Current | Accepting new patients |
Locations
7 Southwoods Blvd
Ste 4
Albany, NY 12211
3122 Union St
Ste 1B
Flushing, NY 11354
Phone (718) 968-7171
1510 Jericho Tpke
New Hyde Park, NY 11040
Phone (516) 216-5341
110 W 6th St
Oswego, NY 13126
Phone (315) 349-5511
45 Reade Pl
Poughkeepsie, NY 12601
Phone (845) 331-3131
601 Elmwood Ave
#604
Rochester, NY 14642
Phone (585) 275-2141
736 Irving Ave
Syracuse, NY 13210
Phone (315) 470-7111
Organizations & group practices 4
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.
-
- Anesthesiology Physician
- Melville, NY
- NPI 1649264706
-
- General Acute Care Hospital
- Oswego, NY
- NPI 1871678458
-
- Anesthesiology Physician
- Oswego, NY
- NPI 1255639043
-
- Anesthesiology Physician
- Rochester, NY
- NPI 1609806488
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Syracuse, NY
- NPI 1033107743
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1667433600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1782691200000",
"number": "1487361945",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "338 JAMESVILLE AVE APT 4A",
"city": "SYRACUSE",
"state": "NY",
"postal_code": "132103268",
"telephone_number": "585-298-3023"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "736 IRVING AVE",
"city": "SYRACUSE",
"state": "NY",
"postal_code": "132101602",
"telephone_number": "315-470-7111"
}
],
"practiceLocations": [
{
"address_1": "110 W 6th St",
"address_purpose": "LOCATION",
"city": "Oswego",
"state": "NY",
"postal_code": "131262598",
"country_code": "US",
"telephone_number": "315-349-5511",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "5801 E Taft Rd",
"address_purpose": "LOCATION",
"city": "Syracuse",
"state": "NY",
"postal_code": "132123291",
"country_code": "US",
"telephone_number": "315-418-4140",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "725 Irving Ave",
"address_purpose": "LOCATION",
"city": "Syracuse",
"state": "NY",
"postal_code": "132101603",
"country_code": "US",
"telephone_number": "315-470-7994",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "475 Irving Ave",
"address_purpose": "LOCATION",
"city": "Syracuse",
"state": "NY",
"postal_code": "132101756",
"country_code": "US",
"telephone_number": "315-475-8401",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "AHMETOVIC",
"first_name": "DEMIR",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-11-03",
"last_updated": "2026-06-29",
"certification_date": "2026-06-29",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "NY",
"license": "145722",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Syracuse, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.