Individual provider Active NPI

Indrani Datta, M.D.

  • Emergency Medicine Physician
  • Trumbull, CT
National Provider Identifier
1376562991
Registry record updated Jun 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
044215 Issued in CT
Practice address
915 White Plains Rd
Trumbull, CT 06611-4502
Phone
(203) 696-3500
NPI assigned
Jul 18, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 044215 CT Primary

Addresses

Primary practice location

915 White Plains Rd
Trumbull, CT 06611-4502

Mailing address

915 White Plains Rd
Trumbull, CT 06611-4502
Phone (203) 696-3500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060918000306 CT Practitioner - Emergency Medicine 0143225532 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St. Vincents Urgent Care LLC 43 clinicians

Practice addresses (Care Compare)

900 White Plains Rd
Suite D
Trumbull, CT 06611-5727
Phone (203) 696-3500

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
044215CTMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
St. Vincents Urgent Care LLC CurrentSince Jul 1, 2025 Accepting new patients
Westport Urgent Care LLC CurrentSince Sep 16, 2018 Accepting new patients
St. Vincents Urgent Care LLC CurrentSince Jul 1, 2025 Accepting new patients

Locations

7365 Main St
Ste 7
Stratford, CT 06614
Phone (203) 696-3505

900 White Plains Rd
Ste D
Trumbull, CT 06611
Phone (203) 696-3500

915 White Plains Rd
Trumbull, CT 06611
Phone (203) 696-3500

1045 Post Rd E
Westport, CT 06880
Phone (203) 259-2124

1290 Silas Deane Hwy
Wethersfield, CT 06109
Phone (860) 972-6977

484 Temple Hill Rd
Ste 103
New Windsor, NY 12553

Interoperability endpoints

  • Direct secure messaging: westporturgentcare.dattaindrani@125829.advancedmd-direct.com

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.

NPI Registry JSON

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

{
    "created_epoch": "1153180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750809600000",
    "number": "1376562991",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "915 WHITE PLAINS RD",
            "city": "TRUMBULL",
            "state": "CT",
            "postal_code": "066114502",
            "telephone_number": "203-696-3500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "915 WHITE PLAINS RD",
            "city": "TRUMBULL",
            "state": "CT",
            "postal_code": "066114502",
            "telephone_number": "203-696-3500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DATTA",
        "first_name": "INDRANI",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-18",
        "last_updated": "2025-06-25",
        "certification_date": "2025-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "CT",
            "license": "044215",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Trumbull, CT

Sources for this page

Verify at the official NPI Registry.