Individual provider Active NPI

Demetrios J Grossos, D.P.M.

  • Podiatrist
  • Brooklyn, NY
National Provider Identifier
1598053944
Registry record updated Aug 31, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
25MD00326700 Issued in NJ
Practice address
150 55TH St
Brooklyn, NY 11220-2553
Phone
(201) 232-8170
NPI assigned
Jul 19, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2020

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X 25MD00326700 NJ
Student in an Organized Health Care Education/Training Program 390200000X
Podiatrist 213E00000X 25MD00326700 NJ Primary

Addresses

Primary practice location

150 55TH St
Brooklyn, NY 11220-2553

Mailing address

555 Ovington Ave
Brooklyn, NY 11209-1759
Phone (201) 232-8170

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, NJ2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20150205000126 NY Practitioner - Podiatry 2567787021 Practice locations: Brooklyn, NY
I20150618001175 NJ Practitioner - Podiatry 2567787021 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
New York College of Podiatric Medicine, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Biebel and Decotiis Associates, LLCGroup PAC ID 7810961521, 5 clinicians

Practice addresses (Care Compare)

721 N Beers St
Suite 2C
Holmdel, NJ 07733-1500
Phone (732) 888-1717

Hospital & facility affiliations

  • Bayshore Medical Center Hospital, Holmdel, NJ, CCN 310112
  • Riverview Medical Center Hospital, Red Bank, NJ, CCN 310034

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of tissue494
Removal of skin lesions1-10
Removal of nail tissue1278
Removal or shaving of skin growth1019

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Biebel & Decotiis Associates, LLC Podiatrist CurrentSince Aug 1, 2015 Accepting new patients

Locations

721 N Beers St
Ste 2C
Holmdel, NJ 07733
Phone (732) 888-1717

1000 State Route 35
Ste 200
Middletown, NJ 07748
Phone (732) 837-3313

Organizations & group practices 1

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.

Hospital & facility affiliations 4

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": "1311033600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1598832000000",
    "number": "1598053944",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "555 OVINGTON AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112091759",
            "telephone_number": "201-232-8170"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 55TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112202553",
            "telephone_number": "201-232-8170"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GROSSOS",
        "first_name": "DEMETRIOS",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "D.P.M.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-07-19",
        "last_updated": "2020-08-31",
        "certification_date": "2020-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "NJ",
            "license": "25MD00326700",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "NJ",
            "license": "25MD00326700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.