1. Home
  2. Directory
  3. New York
  4. New York New York
  5. Nurse Practitioner
  6. NPI Profile

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

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: October 25, 2026.

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
Open in Google Maps ↗

Medicare Participation & PECOS CMS

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

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.

Medicare Billing Reassignment

Medicare enrollment records show Demetrios Roussos reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

New York University
1,038 mi
Cardiovascular Disease
3301 QUANTUM BLVD
Boynton Beach, FL 33426
  • Reassigned Medicare billing, New York enrollment
  • 2,450 clinicians in this Medicare group
NPI 1285826438 (877) 648-2964

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

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
301 E 17TH ST
NEW YORK, NY 10003
New York County (212) 598-6531
JENNA SNYDER
Occupational Therapist
301 E 17TH ST
NEW YORK, NY 10003
New York County (212) 598-6000
CHRISTINE JEONG OTD, OTR/L, CSRS
Occupational Therapist
301 E 17TH ST
NEW YORK, NY 10003
New York County (212) 598-6558
LOUIS DIZON MD
Physical Medicine & Rehabilitation
301 E 17TH ST
NEW YORK, NY 10003
New York County (212) 598-6351
THERESA TENN RPH
Pharmacist
301 E 17TH ST
NEW YORK, NY 10003
New York County (212) 598-6713
MS. VICTORIA ROSE LARGO LCSW
Specialist
301 E 17TH ST
NEW YORK, NY 10003
New York County (347) 989-7115
HJD DIABETIC FOOT & ANKLE CTR
Podiatrist (Primary Podiatric Medicine)
301 E 17TH ST, 10TH FLOOR
NEW YORK, NY 10003
New York County (212) 460-0110
MRS. SONAL THAKKER FNP-C
Nurse Practitioner (Family)
301 E 17TH ST, NURSING OFFICE
NEW YORK, NY 10003
New York County (212) 598-7674

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 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.

Where is Demetrios Roussos located?

Demetrios Roussos practices at 301 E 17th St, New York, NY 10003. The listed phone number is (212) 598-6286.

What is Demetrios Roussos's specialty?

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

Is Demetrios Roussos enrolled in Medicare?

Yes. Demetrios Roussos is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Demetrios Roussos's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Demetrios Roussos reassigns Medicare benefits to New York University (Boynton Beach, FL). The 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 Roussos's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

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 4 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.