Raymond Divasto, D.P.M.

Primary specialty

Foot Surgery PodiatristTaxonomy code 213ES0131X

License

N005527-1 Issued in NY

Practice address

45 North Ave
Webster, NY 14580-3054

Phone

(585) 872-6520

Fax

(585) 872-6357

NPI assigned

Apr 19, 2006

Last updated

Apr 4, 2016By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

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

Specialty

Podiatry

Education

Kent State University College of Podiatric Medicine, 1996

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Monroe Podiatry GroupGroup PAC ID 7911965009, 2 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: drdivasto@monroepodiatry.medentdirect.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Monroe Podiatry Group

  • Durable Medical Equipment & Medical Supplies
  • Webster, NY
  • NPI 1023189842

  Foot Surgery

  Medicare reassignment Care Compare group NPD Authorized official
• Internal Medicine Associates of Webster,P.C.

  • Internal Medicine Physician
  • Webster, NY
  • NPI 1881795334
  NPD (past)

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

{
    "created_epoch": "1145404800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1459728000000",
    "number": "1588629653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "45 NORTH AVE",
            "city": "WEBSTER",
            "state": "NY",
            "postal_code": "145803054",
            "telephone_number": "585-872-6520",
            "fax_number": "585-872-6357"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45 NORTH AVE",
            "city": "WEBSTER",
            "state": "NY",
            "postal_code": "145803054",
            "telephone_number": "585-872-6520",
            "fax_number": "585-872-6357"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIVASTO",
        "first_name": "RAYMOND",
        "name_prefix": "Dr.",
        "credential": "D.P.M.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-19",
        "last_updated": "2016-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0131X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot Surgery",
            "state": "NY",
            "license": "N005527",
            "primary": false
        },
        {
            "code": "213ES0131X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot Surgery",
            "state": "NY",
            "license": "N005527-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01955480",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michelle Christine Dimartino-Odai, M.S.
• Barbara Dimitrov, RPH
• Matthew Diperri, LICENSED OPTICIAN
• Kathryn Ann Disalvo, LMHC
• Caitlin Ditch
• Joyce Djele-Seibold, RN
• Abigail Doberstein, DPT
• Paula Rentschler Dobesh, SLP
• Anna Doerr, LMSW
• Dogmanits Family Dental PLLC

• Foot Surgery Podiatrist in Webster, NY
• Providers in Webster, NY by specialty
• Foot Surgery Podiatrist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.