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

Kassia Talaiefar, PHYSICIANASSISTANT

Individual provider Physician Assistant · NPI 1720709272

Kassia Talaiefar, PHYSICIANASSISTANT is a Physician Assistant in Riverside, Rhode Island. Qualified in 2022, 4 years ago. Practices with Borrego Stat Care Inc, a 4-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Rhode Island.

Years since qualifying
4
Licensed in
RI
In the registry since
2022

Practice location Address checks out

1011 Veterans Memorial Pkwy
Riverside, RI 02915-5099
Phone: (401) 432-1000
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 593 Eddy St, Providence, RI 02903-4923 — (401) 444-8638

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA01517 (RI)

Record details

NPI number1720709272
Entity typeIndividual (Type 1)
GenderFemale
Credentials PHYSICIANASSISTANT
Sole proprietorNo
NPI enumeratedSeptember 2, 2022
Last updated in NPPESJanuary 13, 2023
Certification dateJanuary 13, 2023

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Borrego Stat Care Inc — 4 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations3 on file with Medicare

Other providers in Riverside