DEMETRIOS K. MAVROIDIS M.D.
NPI 1184602914
Thoracic Surgery (Cardiothoracic Vascular Surgery) in Pomona, NJ

Q: What is Demetrios Mavroidis's NPI number?

The NPI number for Demetrios Mavroidis is 1184602914. It was assigned to this individual provider in the NPPES registry on January 3, 2006.

Q: What is Demetrios Mavroidis's specialty?

The primary specialty registered for this NPI is Thoracic Surgery (Cardiothoracic Vascular Surgery) with taxonomy code 208G00000X.

Active since January 03, 2006PECOS EnrolledAccepts Medicare Assignment

65 W JIMMIE LEEDS RD, POMONA, NJ 08240(609) 652-1000 Get Directions Write a Review

NPPES record last updated: October 23, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Demetrios K. Mavroidis M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DEMETRIOS K. MAVROIDIS M.D. (NPI 1184602914) is an individual thoracic surgery (cardiothoracic vascular surgery) provider in Pomona, New Jersey, licensed in New Jersey (25IA12362700) and active in the NPI registry since January 2006. He is enrolled in Medicare PECOS, is affiliated with Atlanticare Regional Medical Center - City Campus, and is a graduate of Other (1990).

NPPES Registry Identity

NPI1184602914

Entity TypeIndividualMale

Primary Taxonomy208G00000X

Provider Legal NameDEMETRIOS K. MAVROIDISCredential: M.D.

Location Address65 W JIMMIE LEEDS RDPomona, NJ 08240-9102

Mailing Address65 W Jimmie Leeds RdPomona, NJ 08240-9102 · (609) 652-1000

Phone(609) 652-1000

Sole ProprietorNo

Medical School CMSOtherGraduated 1990

Enumeration DateJanuary 3, 2006

Last NPPES UpdateOctober 23, 2024

NPPES CertifiedOctober 23, 2024

✔ NPI 1184602914 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyThoracic Surgery (Cardiothoracic Vascular Surgery)Allopathic & Osteopathic Physicians

Taxonomy Code208G00000X

Licenses✔ Licensed in NJ · 25IA12362700✔ Licensed in NV · 9145

Definition

A thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall, abnormalities of the trachea, abnormalities of the great vessels and heart valves, congenital anomalies, tumors of the mediastinum and diseases of the diaphragm. The management of the airway and injuries of the chest is within the scope of the specialty.

65 W JIMMIE LEEDS RD, Pomona, NJ 08240

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Other Identifiers 1

Medicaid002018224NV

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Demetrios K. Mavroidis M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5092740548

PECOS Enrollment IDI20241115003661

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

Medicare enrollment records show Demetrios Mavroidis reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Atlanticare Physician Group, PA

0.6 mi

Urgent Care

110 E JIMMIE LEEDS RD
Galloway, NJ 08205

Reassigned Medicare billing, New Jersey enrollment
Also billed through NPI 1093829608 (New Jersey)
921 clinicians in this Medicare group

NPI 1003820622 (609) 748-2100

Vhs Outpatient Clinics, Inc.

2,130 mi

Multi-Specialty

1325 N LITCHFIELD RD STE 125
Goodyear, AZ 85395

Reassigned Medicare billing, Arizona enrollment
267 clinicians in this Medicare group

NPI 1912979964 (623) 242-1231

Nevada Heart And Vascular Center Resh LLP

2,220 mi

Cardiovascular Disease

401 N BUFFALO DR STE 100
Las Vegas, NV 89145

Reassigned Medicare billing, Nevada enrollment
53 clinicians in this Medicare group

NPI 1659387934 (702) 240-6482

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

19 services19 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Atlanticare Regional Medical Center - City Campus

Acute Care Hospitals · Atlantic City, NJ

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number310064

Location1925 Pacific AvenueAtlantic City, NJ 08401 · Atlantic County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 08240 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$185.05 typical visit price

range $61.59 – $185.05

Typical copayment $46.26 (range $15.39 – $46.26)

Most-billed visit code 99205

Established Patient

$76.45 typical visit price

range $20.08 – $150.98

Typical copayment $19.11 (range $5.02 – $37.74)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

COURTNEY PAIGE REED

Nurse Anesthetist, Certified Registered

65 W JIMMIE LEEDS RD
POMONA, NJ 08240

Atlantic County (609) 335-8012

KLISA D. HARGROVE-LOPER CRNA

Nurse Anesthetist, Certified Registered

65 W JIMMIE LEEDS RD
POMONA, NJ 08240

Atlantic County (609) 652-3444

JILLIAN ULLO

Nurse Practitioner (Family)

65 W JIMMIE LEEDS RD
POMONA, NJ 08240

Atlantic County (609) 748-7089

ASHLEIGH BRY

Nurse Anesthetist, Certified Registered

65 W JIMMIE LEEDS RD
POMONA, NJ 08240

Atlantic County (609) 652-1000

PHILLIP CAMPANELLA

Nurse Practitioner (Adult Health)

65 W JIMMIE LEEDS RD
POMONA, NJ 08240

Atlantic County (609) 652-1000

ATLANTICARE REGIONAL MEDICAL CENTER

General Acute Care Hospital

65 W JIMMIE LEEDS RD
POMONA, NJ 08240

Atlantic County (609) 652-1000

SUSAN SCHRENK CRNA

Nurse Anesthetist, Certified Registered

65 W JIMMIE LEEDS RD, ANESTHESIA DEPARTMENT
POMONA, NJ 08240

Atlantic County (609) 748-7597

ATLANTICARE REGIONAL MEDICAL CENTER

Pharmacy (Community/Retail Pharmacy)

65 W JIMMIE LEEDS RD
POMONA, NJ 08240

Atlantic County (609) 404-4833

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Demetrios Mavroidis's NPI number?

The NPI number for Demetrios Mavroidis is 1184602914. It was assigned to this individual provider in the NPPES registry on January 3, 2006.

Where is Demetrios Mavroidis located?

Demetrios Mavroidis practices at 65 W Jimmie Leeds Rd, Pomona, NJ 08240. The listed phone number is (609) 652-1000.

What is Demetrios Mavroidis's specialty?

The primary specialty registered for this NPI is Thoracic Surgery (Cardiothoracic Vascular Surgery) with taxonomy code 208G00000X.

Is Demetrios Mavroidis enrolled in Medicare?

Yes. Demetrios Mavroidis is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Demetrios Mavroidis's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Demetrios Mavroidis reassigns Medicare benefits to 3 organizations: Atlanticare Physician Group, PA (Galloway, NJ), Vhs Outpatient Clinics, Inc. (Goodyear, AZ) and Nevada Heart And Vascular Center Resh LLP (Las Vegas, NV). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Demetrios Mavroidis's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Demetrios Mavroidis affiliated with any hospitals?

According to CMS data, Demetrios Mavroidis is affiliated with Atlanticare Regional Medical Center - City Campus.

When was this NPI record last updated?

The NPPES record for Demetrios Mavroidis was last updated on October 23, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.