Active NPI
Indira Plaisimond
- Physician Assistant
- Rye, NY
National Provider Identifier
1225761653
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 032558
- Practice address
- 1 Theall Rd
Rye, NY 10580-1404 - Phone
- (914) 848-8700
- NPI assigned
- Jul 4, 2022
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 6737 | CT | |
| Physician Assistant | 363A00000X | 032558 | NY | Primary |
Addresses
Primary practice location
1 Theall Rd
Rye, NY 10580-1404
Mailing address
1 Theall Rd
Rye, NY 10580-1404
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY, CT
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2024
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
25 Old Kings Hwy N
Suite 21
Darien, CT 06820-4608
Phone (860) 650-3848
340 Grasmere Ave
Fairfield, CT 06824-6155
Phone (860) 650-3848
346 Main Ave
Norwalk, CT 06851-1592
Phone (860) 650-3848
900 Main St S
Suite 100
Southbury, CT 06488-4213
Phone (860) 650-3848
Hospital & facility affiliations
- Norwalk Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6737 | CT | MD | General Practice Dentistry |
| 032558 | NY | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| WRK Ventures, LLC | Multi-Specialty | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- Urgent Care Clinic/Center
- Brookfield, CT
- NPI 1730479254
-
- Urgent Care Clinic/Center
- Baldwin Place, NY
- NPI 1154866879
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Norwalk, CT
- NPI 1346441953
-
- General Acute Care Hospital
- Norwalk, CT
- NPI 1427041581
-
- General Acute Care Hospital
- Norwalk, CT
- NPI 1649263880
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1656892800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1738281600000",
"number": "1225761653",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 THEALL RD",
"city": "RYE",
"state": "NY",
"postal_code": "105801404"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 THEALL RD",
"city": "RYE",
"state": "NY",
"postal_code": "105801404",
"telephone_number": "914-848-8700"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PLAISIMOND",
"first_name": "INDIRA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-07-04",
"last_updated": "2025-01-31",
"certification_date": "2025-01-31",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "CT",
"license": "6737",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physician Assistant",
"state": "NY",
"license": "032558",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Rye, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2025; 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.