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DR. ROBERT DIRAIMO M.D
NPI 1639119100
Specialist in Port Washington, NY

Active since June 06, 2006PECOS Enrolled
639 PORT WASHINGTON BLVD, PORT WASHINGTON, NY 11050(516) 883-2212 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Robert Diraimo M.d NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. ROBERT DIRAIMO M.D (NPI 1639119100) is an individual specialist in Port Washington, New York, licensed in New York (210599) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1639119100
Entity TypeIndividualMale
Primary Taxonomy174400000X
Provider Legal NameDR. ROBERT DIRAIMOCredential: M.D
Location Address639 PORT WASHINGTON BLVDPort Washington, NY 11050-3733
Mailing Address45 E GateManhasset, NY 11030-3423 · (516) 365-4792
Phone(516) 883-2212
Sole ProprietorNo
Enumeration DateJune 6, 2006
Last NPPES UpdateJuly 13, 2026
✔ NPI 1639119100 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in NY · 210599
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
639 PORT WASHINGTON BLVD, Port Washington, NY 11050
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Robert Diraimo M.d 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 Reassignments

2

Medicare enrollment records show Robert Diraimo reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

University Physicians Of Brooklyn, Inc.
18 mi
Surgery
450 CLARKSON AVE, BOX 80
Brooklyn, NY 11203
  • Reassigned Medicare billing, New York enrollment
  • 26 clinicians in this Medicare group
NPI 1538116082 (718) 613-8481
Coney Island Medical Practice Plan, P.C.
22 mi
General Practice
2601 OCEAN PKWY
Brooklyn, NY 11235
  • Reassigned Medicare billing, New York enrollment
  • 638 clinicians in this Medicare group
NPI 1386951762 (718) 616-5354

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

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. RENATO B. BERROYA M.D., F.A.S.C
Specialist
639 PORT WASHINGTON BLVD
PORT WASHINGTON, NY 11050
Nassau County (516) 883-2212
JOHN ZARCONE, MD, PC
Surgery (Vascular Surgery)
639 PORT WASHINGTON BLVD
PORT WASHINGTON, NY 11050
Nassau County (516) 883-2212
LONG ISLAND SURGICAL SPECIALIST, P.C.
Exclusive Provider Organization
639 PORT WASHINGTON BLVD
PORT WASHINGTON, NY 11050
Nassau County (516) 883-2212

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 Robert Diraimo's NPI number?

The NPI number for Robert Diraimo is 1639119100. It was assigned to this individual provider in the NPPES registry on June 6, 2006.

Where is Robert Diraimo located?

Robert Diraimo practices at 639 Port Washington Blvd, Port Washington, NY 11050. The listed phone number is (516) 883-2212.

What is Robert Diraimo's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Is Robert Diraimo enrolled in Medicare?

Yes. Robert Diraimo is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Robert Diraimo's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Robert Diraimo reassigns Medicare benefits to 2 organizations: University Physicians Of Brooklyn, Inc. (Brooklyn, NY) and Coney Island Medical Practice Plan, P.C. (Brooklyn, NY). Each 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 Robert Diraimo'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 Robert Diraimo was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months 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.