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Lifespan Physician Group, Inc.

NPI 1548506793ActiveOrganization· Psychiatry & Neurology, Psychiatry· Providence, RI

Psychiatry & Neurology, Psychiatry in Providence, Rhode Island, registered in NPPES in December 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.

Overview

NPI1548506793
StatusActive
Entity typeOrganization (subpart)
Parent organizationLifespan Corporation
NPI issuedDec 17, 2012
Last updated in NPPESJun 8, 2026
Certified by providerJun 8, 2026

Specialties and licenses

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Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 10, 2026No match—
New York OMIG · Nov 10, 2026No match—
Ohio Medicaid · Nov 10, 2026No match—
Pennsylvania Medicheck · Nov 10, 2026No match—
Washington HCA · Nov 10, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Enrolled Part B Supplier - Clinic/Group Practice (RI)

Medicare sources and data years

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