Active NPI
Demetrios Karides, M.D.
- Neurology Physician
- Bayville, NY
National Provider Identifier
1891797502
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- License
- 210635
- Practice address
- 14 Soundview Dr
Bayville, NY 11709-1114 - Phone
- (718) 204-7821
- NPI assigned
- Aug 12, 2005
- Reactivated
- Mar 28, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | 210635 | NY | Primary |
Addresses
Primary practice location
14 Soundview Dr
Bayville, NY 11709-1114
Mailing address
14 Soundview Dr
Bayville, NY 11709-1114
Phone (718) 204-7821
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02258088 | Medicaid | NY |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Neurology
- Education
- State University of New York Downstate Medical Center, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
2309 31St St
Suite 5
Astoria, NY 11105-2452
Phone (718) 204-7821
Hospital & facility affiliations
- Mount Sinai Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 16.99 of 100
- Quality
- 15
- Improvement activities
- 0
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Demetrios a Karides MD PC | Neurology | Current | Accepting new patients |
| Newyork-Presbyterian/Queens | Neurology | Past | Accepting new patients |
Locations
2309 31st St
Ste 5
Astoria, NY 11105
Phone (718) 204-7821
Networks
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H9678
Organizations & group practices 2
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.
-
- Neurology Physician
- Astoria, NY
- NPI 1497964951
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Long Island City, NY
- NPI 1245248939
-
- Rehabilitation Hospital
- New York, NY
- NPI 1669440327
-
- General Acute Care Hospital
- New York, NY
- NPI 1932103413
-
- General Acute Care Hospital
- New York, NY
- NPI 1225295512
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1123804800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1190851200000",
"number": "1891797502",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14 SOUNDVIEW DR",
"city": "BAYVILLE",
"state": "NY",
"postal_code": "117091114",
"telephone_number": "718-204-7821"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14 SOUNDVIEW DR",
"city": "BAYVILLE",
"state": "NY",
"postal_code": "117091114",
"telephone_number": "718-204-7821"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KARIDES",
"first_name": "DEMETRIOS",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-08-12",
"last_updated": "2007-09-27",
"deactivation_date": "2006-03-22",
"reactivation_date": "2006-03-28",
"status": "A"
},
"taxonomies": [
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "NY",
"license": "210635",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02258088",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Bayville, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.