Lifespan Physician Group, Inc.
NPI 1053782466 · Anesthesiology Physician · Providence, RI
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Lifespan Physician Group, Inc. is a Anesthesiology Physician organization in Providence, RI (NPI 1053782466).
Provider details
- NPI number
- 1053782466
- Entity type
- Organization
- Primary specialty
- Anesthesiology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Peter Markell, Evp & Cfo(401) 444-7914
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Certified Registered Nurse Anesthetist367500000X
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
10 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
5 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Brown Health Medical Group
Additional practice locations (4)
- 11 Friendship StNewport, RI 02840-2209Phone: (401) 444-5172Fax: (401) 444-5090
- 164 Summit AveProvidence, RI 02906-2853Phone: (401) 444-5172Fax: (401) 444-5090
- 101 Dudley StProvidence, RI 02905-2401Phone: (401) 444-5172Fax: (401) 444-5090
- 62 Amaral StRiverside, RI 02915-2205Phone: (401) 649-4970Fax: (401) 649-4031
Registry dates
- Enumerated
- 2015-10-12
- Last updated
- 2026-03-30
- Certified
- 2026-03-30
Frequently asked questions
- What is Lifespan Physician Group, Inc.'s NPI number?
- Lifespan Physician Group, Inc.'s National Provider Identifier (NPI) is 1053782466, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Lifespan Physician Group, Inc.?
- Lifespan Physician Group, Inc. is classified in the NPPES registry as Anesthesiology Physician (Allopathic & Osteopathic Physicians).
- Where is Lifespan Physician Group, Inc. located?
- Lifespan Physician Group, Inc.'s practice location on file with NPPES is 593 Eddy St, Providence, RI 02903-4923.
- What is Lifespan Physician Group, Inc.'s phone number?
- The practice phone number listed in the NPPES registry for Lifespan Physician Group, Inc. is (401) 444-5172.
- Does Lifespan Physician Group, Inc. accept Medicare?
- Lifespan Physician Group, Inc. is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Lifespan Physician Group, Inc.?
- The authorized official listed on Lifespan Physician Group, Inc.'s NPPES record is Peter Markell, Evp & Cfo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Lifespan Physician Group, Inc.'s NPI active?
- Yes — Lifespan Physician Group, Inc.'s NPI (1053782466) is active in the NPPES registry as of the last update on 2026-03-30.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.