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PLAIN STREET PRIMARYCARE LLC
NPI 1538936133
Family Medicine in Providence, RI

Active since December 05, 2023CLIA 41D2295357 · Waiver
235 PLAIN ST STE 304, PROVIDENCE, RI 02905(401) 272-0127 Get Directions Write a Review

NPPES record last updated: January 19, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Plain Street Primarycare Llc NPPES

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

PLAIN STREET PRIMARYCARE LLC (NPI 1538936133) is a healthcare organization registered as a family medicine in Providence, Rhode Island and active in the NPI registry since December 2023. The organization holds a CLIA Waiver certificate valid through December 10, 2027 and lists Salma Khan, Manager, as its authorized official.

NPPES Registry Identity

NPI1538936133
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NamePLAIN STREET PRIMARYCARE LLC
Location Address235 PLAIN ST STE 304Providence, RI 02905-3241
Mailing Address235 Plain St Ste 304Providence, RI 02905-3241 · (401) 272-0127
Phone(401) 272-0127
Organization SubpartNo
Authorized OfficialSalma KhanManager · (866) 282-5040
Enumeration DateDecember 5, 2023
Last NPPES UpdateJanuary 19, 2024
NPPES CertifiedJanuary 19, 2024
✔ NPI 1538936133 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
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.
235 PLAIN ST STE 304, Providence, RI 02905
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Plain Street Primarycare Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Plain Street Primarycare LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Rupal Thakor, MD
Family Practice
NPI 1639303258
235 PLAIN ST STE 304
Providence, RI 02905
(401) 272-0127
✔ PECOS✔ Accepts MedicareSame address

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

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 41D2295357

Plain Street Primarycare · Providence, RI
Active · expires Dec 10, 2027
CLIA Number41D2295357
Laboratory TypePhysician Office
Certificate Effective DateDecember 11, 2025
Certificate Expiration DateDecember 10, 2027
Laboratory DirectorRupal H. Thakor
Laboratory Phone(401) 272-0127
Laboratory LocationPlain Street Primarycare235 Plain Street Ste 304, Providence, RI 02905
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Plain Street Primarycare LLC's NPI number?

The NPI number for Plain Street Primarycare LLC is 1538936133. It was assigned to this organization in the NPPES registry on December 5, 2023.

Where is Plain Street Primarycare LLC located?

Plain Street Primarycare LLC is located at 235 Plain St Ste 304, Providence, RI 02905. The listed phone number is (401) 272-0127.

What is Plain Street Primarycare LLC's specialty?

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

Is Plain Street Primarycare LLC enrolled in Medicare?

Yes. Plain Street Primarycare LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Plain Street Primarycare LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Family Practice) reassigns their Medicare billing to Plain Street Primarycare LLC. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Plain Street Primarycare LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 41D2295357) is associated with this NPI, valid through December 10, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Plain Street Primarycare LLC was last updated on January 19, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.