Ben R Dimichino, DPM

Primary specialty

PodiatristTaxonomy code 213E00000X

License

N004656 Issued in NY

Practice address

35 Shore Rd
East Setauket, NY 11733-3920

Phone

(631) 689-0202

Fax

(631) 689-2686

NPI assigned

Aug 31, 2006

Last updated

Apr 2, 2009By 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 1

Addresses

Other identifiers 7

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

Temple University School of Medicine, 1989

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Comprehensive Podiatry Associates DPM PCGroup PAC ID 6901834035, 2 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

76.2 of 100Reported as group

Quality

52.4

Improvement activities

40

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Comprehensive Podiatry Associates DPM PC

  • Podiatrist
  • East Setauket, NY
  • NPI 1174634281
  Medicare reassignment Care Compare group NPD Authorized official
• Saccomanno Podiatry PLLC

  • Podiatrist
  • Commack, NY
  • NPI 1336732056
  NPD (past)

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1238630400000",
    "number": "1760593867",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35 SHORE RD",
            "city": "EAST SETAUKET",
            "state": "NY",
            "postal_code": "117333920",
            "telephone_number": "631-689-0202",
            "fax_number": "631-689-2686"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35 SHORE RD",
            "city": "EAST SETAUKET",
            "state": "NY",
            "postal_code": "117333920",
            "telephone_number": "631-689-0202",
            "fax_number": "631-689-2686"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIMICHINO",
        "first_name": "BEN",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-31",
        "last_updated": "2009-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "NY",
            "license": "N004656",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01590385",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "4450726",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD",
            "identifier": "P2545365",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTH CARE",
            "identifier": "792279",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH NET",
            "identifier": "1C1330",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VYTRA",
            "identifier": "114212",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MDNY",
            "identifier": "AA47838",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Antonietta Dicicco, NP
• Gordon Diehl
• Barry Lawrence Diener, M.D.
• Digestive Disease Care, PC
• Samantha Dawn Diiorio
• Nicholas Divaris
• Docteur Naturelle Inc
• Katelyn Alyssa Doherty, NP
• Alanna Marie Donach, LMSW
• Jinwen Dong, M.D.

• Podiatrist in East Setauket, NY
• Providers in East Setauket, NY by specialty
• Podiatrist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2009; 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.