Plain Street Primarycare LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

PLAIN STREET PRIMARYCARE LLC

Practice address

235 Plain St Ste 304
Providence, RI 02905-3241

Phone

(401) 272-0127

NPI assigned

Dec 5, 2023

Organization subpart

No

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

Authorized official

Name

Salma Khan

Title

Manager

Phone

(866) 282-5040

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in RI

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Rupal H Thakor, MD

  • Family Medicine Physician
  • Providence, RI
  • NPI 1639303258
  Medicare reassignment NPD

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

{
    "created_epoch": "1701734400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1705622400000",
    "number": "1538936133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "235 PLAIN ST STE 304",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029053241",
            "telephone_number": "401-272-0127"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "235 PLAIN ST STE 304",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029053241",
            "telephone_number": "401-272-0127"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PLAIN STREET PRIMARYCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-05",
        "last_updated": "2024-01-19",
        "certification_date": "2024-01-19",
        "status": "A",
        "authorized_official_last_name": "KHAN",
        "authorized_official_first_name": "SALMA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "866-282-5040"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary Jane Pizza, MSW, LICSW, LCDP
• Martha A Pizzarello, MD
• Alexandria Robert Pizzi, PHARMD
• Tianna Pizzo
• John Francis Place, RN
• Caroline J Plamondon, MD
• Colleen Planchon, RNP
• Planned Parenthood of Southern New England
• Caroline Plante, LICSW
• Jacqueline Leona Plante, OTR/L

• Family Medicine Physician in Providence, RI
• Providers in Providence, RI by specialty
• Family Medicine Physician in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.