Lifespan Physician Group, Inc.
NPI 1407116643ActiveOrganization· General Practice· Providence, RI
General Practice in Providence, Rhode Island, registered in NPPES in May 2012, part of Lifespan Corporation. The authorized official on file is Peter K. Markell, Evp & Cfo. Enrolled in Medicare as part b supplier - clinic/group practice and part b supplier - clinic/group practice.
Overview
| NPI | 1407116643 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Lifespan Corporation |
| NPI issued | May 22, 2012 |
| Last updated in NPPES | Oct 7, 2025 |
| Certified by provider | Oct 7, 2025 |
Specialties and licenses
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 (MA); Part B Supplier - Clinic/Group Practice (RI) |
|---|
Other General Practice providers in Providence
- 1598222689
- 1790548949
- 1871063891
- 1326434440
- 1891322848
- 1881211738
- 1497487169
- 1558367987
- 1336571843
- 1417982604