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Susannah Boulet, DO

NPI 1811519697ActiveIndividual· Emergency Medicine· Providence, RI

Emergency Medicine (DO) in Providence, Rhode Island, licensed in RI and PA, with an NPI issued in May 2020. 174 Medicare patients in 2024, $22,219 paid; nearly all of their 89 Part D prescriptions were generic (94%).

Overview

NPI1811519697
StatusActive
Entity typeIndividual
CredentialDO
Sole proprietorNo
NPI issuedMay 14, 2020
Last updated in NPPESJun 20, 2023
Certified by providerJun 7, 2023

Specialties and licenses

TaxonomyCodeLicenseState
Emergency Medicine Primary207P00000XDO01238RI
Emergency Medicine207P00000XOT020113PA

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Nov 10, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 11, 2026No match—
New York OMIG · Nov 11, 2026No match—
Ohio Medicaid · Nov 11, 2026No match—
Pennsylvania Medicheck · Nov 11, 2026No match—
Washington HCA · Nov 11, 2026No match—

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

Medicare

Enrollment (PECOS)Enrolled Practitioner - Emergency Medicine (PA)
Accepts assignmentYes (participating)

Medicare services in 2024

Medicare patients174
Services billed201 across 15 procedure codes
Paid by Medicare$22,219

Part D prescriptions in 2024

Prescriptions (claims)89 · 89 30-day fills
Patients66
Total drug cost$1,265
Generic share94% of claims

Medicare sources and data years

Industry payments (Open Payments)

None reported for 2025 or 2024.

Receiving payments does not imply wrongdoing. What Open Payments covers ·original records

Other emergency medicine physicians in Providence

All 255 emergency medicine physicians in Providence · All emergency medicine physicians in Rhode Island