LARISSA ASSAM MD
NPI 1033679584
Family Medicine in New Haven, CT

Active since March 21, 2019PECOS EnrolledAccepts Medicare Assignment
158 AMITY RD # 280, NEW HAVEN, CT 06515(203) 404-3463 Get Directions Write a Review

NPPES record last updated: August 20, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Aug 20, 2026, Jul 20, 2026, Jul 31, 2024 and 1 more (4 updates tracked since 2019).

About Larissa Assam Md NPPES

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

LARISSA ASSAM MD (NPI 1033679584) is an individual family medicine provider in New Haven, Connecticut, licensed in Connecticut (80179) and active in the NPI registry since March 2019. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1033679584
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameLARISSA ASSAMCredential: MD
Location Address158 AMITY RD # 280New Haven, CT 06515-1405
Mailing AddressPo Box 745254Atlanta, GA 30374-5254
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateMarch 21, 2019
Last NPPES UpdateAugust 20, 20264 updates tracked since enumeration
NPPES CertifiedAugust 20, 2026
✔ NPI 1033679584 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses✔ Licensed in CT · 80179✔ Licensed in MD · D0098982
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
158 AMITY RD # 280, New Haven, CT 06515

Secondary Practice Locations 2

Location 14151 Bladensburg RdColmar Manor, MD 20722-1928 · Phone (301) 699-7700
Location 28305 Wisconsin AveBethesda, MD 20814-3103 · Phone (301) 800-7000

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Larissa Assam Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9537609631
PECOS Enrollment IDI20240904001480
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 Larissa Assam reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Primary Care
2000 N MAIN ST
Waterbury, CT 06704
  • Reassigned Medicare billing, Connecticut enrollment
  • 22 clinicians in this Medicare group
Primary Care
6020 RICHMOND HWY STE 102
Alexandria, VA 22303
  • Reassigned Medicare billing, District of Columbia and Maryland enrollments
  • 158 clinicians in this Medicare group

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 06515 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$93.86 typical visit price
range $60.82 – $183.10
Typical copayment $23.46 (range $15.20 – $45.77)
Most-billed visit code 99203
Established Patient
$106.68 typical visit price
range $19.76 – $149.26
Typical copayment $26.67 (range $4.94 – $37.31)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES

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

Nurse Practitioner (Family)
158 AMITY RD # 280
NEW HAVEN, CT 06515

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 Larissa Assam's NPI number?

The NPI number for Larissa Assam is 1033679584. It was assigned to this individual provider in the NPPES registry on March 21, 2019.

Where is Larissa Assam located?

Larissa Assam practices at 158 Amity Rd # 280, New Haven, CT 06515. The listed phone number is (203) 404-3463.

What is Larissa Assam's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Larissa Assam enrolled in Medicare?

Yes. Larissa Assam is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Larissa Assam's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Larissa Assam reassigns Medicare benefits to 2 organizations: Nova Physician Group PLLC (Waterbury, CT) and Capital Healthcare PC (Alexandria, VA). 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 Larissa Assam'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 Larissa Assam was last updated on August 20, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.