Individual provider Active NPI

Daniel Demesh, M.D.

  • Facial Plastic Surgery Physician
  • New York, NY
National Provider Identifier
1629485586
Registry record updated Mar 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Facial Plastic Surgery PhysicianTaxonomy code 207YS0123X
License
304120 Issued in NY
Practice address
1865 Broadway
New York, NY 10023-7501
Phone
(646) 462-4100
NPI assigned
Jul 11, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Facial Plastic Surgery Physician 207YS0123X 304120 NY Primary

Addresses

Primary practice location

1865 Broadway
New York, NY 10023-7501

Mailing address

1345 Avenue of the Americas FL 8
New York, NY 10105-0018
Phone (908) 588-3635

Other practice location 1

3400 Bainbridge Ave
3rd floor
Bronx, NY 10467-2404
Phone (718) 920-4267

Other practice location 2

3400 Bainbridge Ave
3rd floor
Bronx, NY 10467-2404
Phone (718) 920-4267

Other practice location 3

1855 W Taylor St Ste 3.87
Chicago, IL 60612
Phone (312) 996-6584

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20220112000703 NY Practitioner - Otolaryngology 3375872682 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Otolaryngology
Education
Albert Einstein College of Medicine of Yeshiva University, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

2025 Broadway
New York, NY 10023-5016
Phone (212) 390-8812

Merit-based Incentive Payment System (MIPS)

Final score
86.33 of 100Reported as group
Quality
82.1
Promoting interoperability
100
Improvement activities
40
Cost
72.34

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
City Medical of Upper East Side, PLLC CurrentSince Jan 20, 2022 Accepting new patients
City Medical of Upper East Side, PLLC CurrentSince Jan 20, 2022 Accepting new patients
Kabila Wellness. LLC CurrentSince Nov 12, 2023 Accepting new patients
City Medical of Upper East Side, PLLC Current Accepting new patients

Locations

4 Corporate Dr
Ste 392
Shelton, CT 06484
Phone (203) 447-0088

2248 31st St
Astoria, NY 11105
Phone (718) 267-1333

3111 Steinway St
Astoria, NY 11103
Phone (718) 475-2345

1345 Avenue of the Americas
Fl 8
New York, NY 10105
Phone (212) 913-0828

336 E 86th St
New York, NY 10028
Phone (212) 772-3627

2025 Broadway
New York, NY 10023
Phone (212) 390-8812

1865 Broadway
New York, NY 10023
Phone (646) 462-4100

1345 Rxr Plz
Uniondale, NY 11556
Phone (516) 453-0435

Networks

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

Interoperability endpoints

  • Direct secure messaging: daniel.demesh@7882.chartlogic.direct-ci.com
  • Direct secure messaging: daniel.demesh.1@2983.direct.athenahealth.com

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1405036800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742860800000",
    "number": "1629485586",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1345 AVENUE OF THE AMERICAS FL 8",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "101050018",
            "telephone_number": "908-588-3635"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1865 BROADWAY",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100237501",
            "telephone_number": "646-462-4100"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3400 Bainbridge Ave",
            "address_2": "3rd floor",
            "address_purpose": "LOCATION",
            "city": "Bronx",
            "state": "NY",
            "postal_code": "104672404",
            "country_code": "US",
            "telephone_number": "718-920-4267",
            "fax_number": "718-405-9014",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3400 Bainbridge Ave",
            "address_2": "3rd floor",
            "address_purpose": "LOCATION",
            "city": "Bronx",
            "state": "NY",
            "postal_code": "104672404",
            "country_code": "US",
            "telephone_number": "718-920-4267",
            "fax_number": "718-405-9014",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1855 W Taylor St Ste 3.87",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "60612",
            "country_code": "US",
            "telephone_number": "312-996-6584",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DEMESH",
        "first_name": "DANIEL",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-07-11",
        "last_updated": "2025-03-25",
        "certification_date": "2025-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207YS0123X",
            "taxonomy_group": "",
            "desc": "Otolaryngology, Facial Plastic Surgery",
            "state": "NY",
            "license": "304120",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.