Individual provider Active NPI

Shweta Raina, D.P.M.

  • Foot & Ankle Surgery Podiatrist
  • Flushing, NY
National Provider Identifier
1093030199
Registry record updated Apr 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
006638 Issued in NY
Practice address
4323 Colden St
Apt 10N
Flushing, NY 11355-5901
Phone
(216) 272-3447
NPI assigned
Mar 31, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 13, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X 006638 NY Primary

Addresses

Primary practice location

4323 Colden St
Apt 10N
Flushing, NY 11355-5901

Mailing address

5213 Roosevelt Ave
Woodside, NY 11377-8054
Phone (347) 696-4113

Other practice location 1

9317 Roosevelt Ave Fl 1
Jackson Heights, NY 11372-7943
Phone (347) 696-4113

Other identifiers 1

IdentifierTypeStateIssuer
04451667MedicaidNY

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160311002237 NY Practitioner - Podiatry 3678879947 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Kent State University College of Podiatric Medicine, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rolando M Melendez DPM PCGroup PAC ID 2062631781, 2 clinicians

Practice addresses (Care Compare)

9317 Roosevelt Ave
FL 1
Jackson Heights, NY 11372-7943
Phone (347) 696-4113

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10
Removal of skin lesions1-10
Removal of nail tissue56
Removal or shaving of skin growth22

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Interoperability endpoints

  • Direct secure messaging: shr9105@direct.nyp.org
  • Direct secure messaging: sraina@rmmdp-ny.direct.office.nextgen.com

Organizations & group practices 1

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1269993600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649808000000",
    "number": "1093030199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5213 ROOSEVELT AVE",
            "city": "WOODSIDE",
            "state": "NY",
            "postal_code": "113778054",
            "telephone_number": "347-696-4113",
            "fax_number": "347-696-4113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4323 COLDEN ST",
            "address_2": "APT 10N",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113555901",
            "telephone_number": "216-272-3447"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9317 Roosevelt Ave Fl 1",
            "address_purpose": "LOCATION",
            "city": "Jackson Heights",
            "state": "NY",
            "postal_code": "113727943",
            "country_code": "US",
            "telephone_number": "347-696-4113",
            "fax_number": "347-696-4113",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RAINA",
        "first_name": "SHWETA",
        "name_prefix": "Dr.",
        "credential": "D.P.M.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-03-31",
        "last_updated": "2022-04-13",
        "certification_date": "2022-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "NY",
            "license": "006638",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "04451667",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Flushing, NY

Sources for this page

Verify at the official NPI Registry.