Lifespan Physician Group, Inc.
NPI 1053782466ActiveOrganization· Anesthesiology· Providence, RI
Anesthesiology in Providence, Rhode Island, registered in NPPES in October 2015. The authorized official on file is Peter K. Markell, Evp & Cfo. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1053782466 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Oct 12, 2015 |
| Last updated in NPPES | Mar 30, 2026 |
| Certified by provider | Mar 30, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Anesthesiology Primary | 207L00000X | — | — |
| Nurse Anesthetist, Certified Registered | 367500000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (RI) |
|---|
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