MR. DEMETRIOS ROUSSOS NP
NPI 1356522908
Nurse Practitioner - Pediatrics in New York, NY

Q: What is Demetrios Roussos's NPI number?

The NPI number for Demetrios Roussos is 1356522908. It was assigned to this individual provider in the NPPES registry on November 23, 2007.

Q: What is Demetrios Roussos's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

Q: When was this NPI record last updated?

The NPPES record for Demetrios Roussos was last updated on September 12, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.

Active since November 23, 2007PECOS Enrolled

301 E 17TH ST, NEW YORK, NY 10003(212) 598-6286 Get Directions Write a Review

NPPES record last updated: September 12, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Mr. Demetrios Roussos Np NPPES

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

MR. DEMETRIOS ROUSSOS NP (NPI 1356522908) is an individual pediatrics provider in New York, New York, licensed in New York (381829) and active in the NPI registry since November 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1356522908

Entity TypeIndividualMale

Primary Taxonomy363LP0200X

Provider Legal NameMR. DEMETRIOS ROUSSOSCredential: NP

Location Address301 E 17TH STNew York, NY 10003-3804

Mailing Address301 E 17th StNew York, NY 10003-3804 · (212) 598-6286

Phone(212) 598-6286

Sole ProprietorNo

Enumeration DateNovember 23, 2007

Last NPPES UpdateSeptember 12, 2022

NPPES CertifiedSeptember 12, 2022

✔ NPI 1356522908 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0200X

License✔ Licensed in NY · 381829

301 E 17TH ST, New York, NY 10003

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. Demetrios Roussos Np is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10003 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

$102.04 typical visit price

range $65.69 – $198.19

Typical copayment $25.51 (range $16.42 – $49.54)

Most-billed visit code 99203

Established Patient

$114.88 typical visit price

range $21.20 – $160.66

Typical copayment $28.72 (range $5.30 – $40.16)

Most-billed visit code 99214

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.

DR. CHRISTOPHER MICHAEL PETRILLI MD

Hospitalist