Individual provider Active NPI

Cheyenne Rose Raimondi, DPM

  • Foot & Ankle Surgery Podiatrist
  • Smithtown, NY
National Provider Identifier
1285378604
Registry record updated Jul 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
007472 Issued in NY
Practice address
257 E Main St Ste C
Smithtown, NY 11787-2826
Phone
(631) 982-9343
Fax
(631) 724-3164
NPI assigned
Apr 21, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2025

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 007472 NY Primary

Addresses

Primary practice location

257 E Main St Ste C
Smithtown, NY 11787-2826

Mailing address

257 E Main St Ste C
Smithtown, NY 11787-2826
Phone (631) 982-9343

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
I20251121000766 NY Practitioner - Podiatry 0244722841 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
New York College of Podiatric Medicine, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Michele Ahmadi DPM LLCGroup PAC ID 5597149773, 3 clinicians

Practice addresses (Care Compare)

257 E Main St
Smithtown, NY 11787-2807
Phone (631) 982-9343

Hospital & facility affiliations

  • St Catherine of Siena Hospital Hospital, Smithtown, NY, CCN 330401
  • Good Samaritan Hospital Medical Center Hospital, West Islip, NY, CCN 330286

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10
Removal of skin lesions1-10
Removal of nail tissue12
Removal or shaving of skin growth1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Michele Ahmadi D.P.M. L.L.C. Foot & Ankle Surgery CurrentSince Sep 5, 2025 Accepting new patients

Locations

257 E Main St
Ste C
Smithtown, NY 11787
Phone (631) 982-9343

257 E Middle Country Rd
Smithtown, NY 11787
Phone (631) 724-4664

1000 Montauk Hwy
West Islip, NY 11795
Phone (516) 705-2689

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.

Hospital & facility affiliations 2

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": "1650499200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753056000000",
    "number": "1285378604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "257 E MAIN ST STE C",
            "city": "SMITHTOWN",
            "state": "NY",
            "postal_code": "117872826",
            "telephone_number": "631-982-9343",
            "fax_number": "631-724-3164"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "257 E MAIN ST STE C",
            "city": "SMITHTOWN",
            "state": "NY",
            "postal_code": "117872826",
            "telephone_number": "631-982-9343",
            "fax_number": "631-724-3164"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAIMONDI",
        "first_name": "CHEYENNE",
        "middle_name": "ROSE",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-04-21",
        "last_updated": "2025-07-21",
        "certification_date": "2025-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "NY",
            "license": "007472",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Smithtown, NY

Sources for this page

Verify at the official NPI Registry.