Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Kasandra Erazo

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1629607817

Kasandra Erazo is an Internal Medicine in Greenwich, Connecticut. Qualified in 2019, 7 years ago. Practices with Northeast Medical Group Inc, a 1,360-clinician group and accepts Medicare assignment. Licensed in Connecticut.

Years since qualifying
7
Licensed in
CT
In the registry since
2020
Specialties on file
2
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Practice location Address checks out

5 Perryridge Rd
Greenwich, CT 06830-4608
Phone: (203) 863-3409
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 73343 (CT)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1629607817
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedApril 8, 2020
Last updated in NPPESJune 8, 2023
Certification dateJune 5, 2023
Mailing address100 Hemlock Rd Unit 2-3, Branford, CT 06405-2224

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyINTERNAL MEDICINE
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Northeast Medical Group Inc — 1360 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Greenwich