NPIMap

Individual provider Active NPI

Lisa A Demarche, RPA

  • Medical Physician Assistant
  • Syracuse, NY
National Provider Identifier
1992888218
Registry record updated Aug 15, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
011612 Issued in NY
Practice address
736 Irving Ave
Crouse Radiology Associates, LLP
Syracuse, NY 13210-1687
Phone
(315) 470-7551
Fax
(315) 470-2719
NPI assigned
Oct 23, 2006
Last updated
Aug 15, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 011612 NY Primary
Medical Physician Assistant 363AM0700X

Addresses

Primary practice location

736 Irving Ave
Crouse Radiology Associates, LLP
Syracuse, NY 13210-1687

Mailing address

PO Box 2004
Crouse Radiology Associates, LLP
East Syracuse, NY 13057-4504
Phone (315) 470-7551

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
I20070608000226 NY Practitioner - Physician Assistant 7719085117 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
MVHS IncGroup PAC ID 2769380252, 330 clinicians
Radiology Associates of New Hartford LLPGroup PAC ID 6002807831, 21 clinicians

Practice addresses (Care Compare)

111 Hospital Dr
Utica, NY 13502-2517
Phone (315) 624-6000

1500 N James St
Rome, NY 13440-2844
Phone (315) 338-7027

1676 Sunset Ave
Utica, NY 13502-5416
Phone (315) 625-6000

2209 Genesee St
Utica, NY 13501-5930
Phone (315) 798-8171

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
79.02 of 100Reported as group
Quality
75.32
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
85.28 of 100Reported as group
Quality
75.06
Promoting interoperability
100
Improvement activities
40
Cost
69.26

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
98.73
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
011612NYMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Rome MRI Associates Current Accepting new patients
Syracuse Orthopedic Specialists, PLLC CurrentSince Feb 27, 2023 Accepting new patients
MVHS Inc CurrentSince Dec 4, 2023 Accepting new patients
University Radiology Associates, LLP Past Accepting new patients
Utica Emergency Physicians, PC Past Accepting new patients

Locations

301 Prospect Ave
Syracuse, NY 13203
Phone (315) 448-5111

5719 Widewaters Pkwy
Syracuse, NY 13214
Phone (315) 251-3110

736 Irving Ave
Syracuse, NY 13210
Phone (315) 470-7111

1676 Sunset Ave
Utica, NY 13502
Phone (315) 624-5567

Organizations & group practices 7

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": "1161561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1471219200000",
    "number": "1992888218",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2004",
            "address_2": "CROUSE RADIOLOGY ASSOCIATES, LLP",
            "city": "EAST SYRACUSE",
            "state": "NY",
            "postal_code": "130574504",
            "telephone_number": "315-470-7551",
            "fax_number": "315-470-2719"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "736 IRVING AVE",
            "address_2": "CROUSE RADIOLOGY ASSOCIATES, LLP",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132101687",
            "telephone_number": "315-470-7551",
            "fax_number": "315-470-2719"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEMARCHE",
        "first_name": "LISA",
        "middle_name": "A",
        "credential": "RPA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-23",
        "last_updated": "2016-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NY",
            "license": "011612",
            "primary": true
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Syracuse, NY

Sources for this page

Verify at the official NPI Registry.