NPIMap

Individual provider Active NPI

Rob Luke Demuro, M.D.

  • Specialist
  • Elizabethtown, NY
National Provider Identifier
1801893318
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
211642-1 Issued in NY
Practice address
66 Park St
Elizabethtown, NY 12932-2303
Phone
(518) 873-6896
Fax
(518) 873-6578
NPI assigned
Jun 30, 2005
Last updated
Jul 13, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 211642-1 NY Primary

Addresses

Primary practice location

66 Park St
Elizabethtown, NY 12932-2303

Mailing address

PO Box 277
Elizabethtown, NY 12932-0277
Phone (518) 873-6896

Other identifiers 1

IdentifierTypeStateIssuer
00354274MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060922000205 NY Practitioner - Internal Medicine 3577568724 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
State University of New York at Buffalo School of Medicine, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Elizabethtown Community HospitalGroup PAC ID 3577554138, shared by 3 NPIs, 62 clinicians

Practice addresses (Care Compare)

39 Farrell Rd
Willsboro, NY 12996-3904
Phone (518) 585-2831

75 Park St
Elizabethtown, NY 12932-2300
Phone (518) 673-6377

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
88.88 of 100Reported as apm
Quality
71.44
Promoting interoperability
97.95
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
211642-1NYMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Elizabethtown Community Hospital CurrentSince Jul 5, 1999 Accepting new patients
Elizabethtown Community Hospital CurrentSince Jul 5, 1999 Accepting new patients
Essex Operations Associates LLC Past Accepting new patients
Essex County Treasurer Past Accepting new patients

Locations

39 Farrell Rd
Willsboro, NY 12996
Phone (518) 523-8345

Interoperability endpoints

  • FHIR API: https://fhir-usa.unify.chbase.com/org/elizabe-e663f886
  • Direct secure messaging: rdemuro182598@direct.uvmhealth.org

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.

Hospital & facility affiliations 9

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": "1120089600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1801893318",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 277",
            "city": "ELIZABETHTOWN",
            "state": "NY",
            "postal_code": "129320277",
            "telephone_number": "518-873-6896",
            "fax_number": "518-873-6578"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "66 PARK ST",
            "city": "ELIZABETHTOWN",
            "state": "NY",
            "postal_code": "129322303",
            "telephone_number": "518-873-6896",
            "fax_number": "518-873-6578"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEMURO",
        "first_name": "ROB",
        "middle_name": "LUKE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-30",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": "211642-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00354274",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Elizabethtown, NY

Sources for this page

Verify at the official NPI Registry.