Individual provider Active NPI

Andrew Demeusy, M.D.

  • Surgery Physician
  • Rutherfordton, NC
National Provider Identifier
1548675911
Registry record updated Jun 20, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
2018-02812 Issued in NC
Practice address
330 NC 108 Hwy
Rutherfordton, NC 28139-3188
Phone
(828) 286-1743
NPI assigned
Jun 24, 2014
Last updated
Jun 20, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 2018-02812 NC Primary

Addresses

Primary practice location

330 NC 108 Hwy
Rutherfordton, NC 28139-3188

Mailing address

330 NC 108 Hwy
Rutherfordton, NC 28139-3188
Phone (828) 286-1743

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20190809000532 NC Practitioner - General Surgery 3173850492 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

330 NC Hwy 108
Rutherfordton, NC 28139-3188
Phone (828) 286-1743

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy25
Hernia repair - groin (open)1-10
Mastectomy1-10
Upper gastrointestinal (GI) endoscopy for acid reflux18
Varicose vein removal11
Leg revascularization (restoring blood flow)1-10
Removal of tissue1-10
Skin biopsy1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
DLP Rutherford Physician Practices LLC CurrentSince Aug 1, 2019 Accepting new patients
DLP Rutherford Physician Practices LLC Surgery CurrentSince Aug 1, 2019 Accepting new patients
DLP Rutherford Physician Practices LLC Past Accepting new patients

Locations

45 E Mills St
Columbus, NC 28722
Phone (828) 894-8213

801 W Mills St
Ste B
Columbus, NC 28722
Phone (828) 692-8097

288 S Ridgecrest Ave
Rutherfordton, NC 28139
Phone (252) 808-6000

330 NC 108 Hwy
Rutherfordton, NC 28139
Phone (828) 286-1743

330 Seven Springs Way
Brentwood, TN 37027
Phone (615) 920-7780

Interoperability endpoints

  • Direct secure messaging: andrew.demeusy.1@9573.direct.athenahealth.com

Organizations & group practices 3

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1403568000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560988800000",
    "number": "1548675911",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "330 NC 108 HWY",
            "city": "RUTHERFORDTON",
            "state": "NC",
            "postal_code": "281393188",
            "telephone_number": "828-286-1743"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "330 NC 108 HWY",
            "city": "RUTHERFORDTON",
            "state": "NC",
            "postal_code": "281393188",
            "telephone_number": "828-286-1743"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEMEUSY",
        "first_name": "ANDREW",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-06-24",
        "last_updated": "2019-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NC",
            "license": "2018-02812",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rutherfordton, NC

Sources for this page

Verify at the official NPI Registry.