Active NPI
Indrani Datta, M.D.
- Emergency Medicine Physician
- Trumbull, CT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 044215
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 044215 | CT | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St. Vincents Urgent Care LLC | Current | Accepting new patients | |
| Westport Urgent Care LLC | Current | Accepting new patients | |
| St. Vincents Urgent Care LLC | Current | 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
- 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.
-
- Internal Medicine Physician
- Trumbull, CT
- NPI 1043852569
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 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.