Lifespan Physician Group, Inc.
NPI 1629449210 · Internal Medicine Physician · Warren, RI
Lifespan Physician Group, Inc. is a Internal Medicine Physician organization in Warren, RI (NPI 1629449210).
Provider details
- NPI number
- 1629449210
- Entity type
- Organization
- Primary specialty
- Internal Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Peter Markell, Evp & Cfo(401) 444-7914
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Chiropractor111N00000X
Chiropractic Providers
- Nurse Practitioner363L00000X
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
1 documented practice location
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)
- Other name
- Metacom Medical
- Other name
- Metacom Medical
Registry dates
- Enumerated
- 2015-10-08
- Last updated
- 2023-04-20
- Certified
- 2023-04-20
Frequently asked questions
- What is Lifespan Physician Group, Inc.'s NPI number?
- Lifespan Physician Group, Inc.'s National Provider Identifier (NPI) is 1629449210, 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 Internal Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Lifespan Physician Group, Inc. located?
- Lifespan Physician Group, Inc.'s practice location on file with NPPES is 639 Metacom Ave, Warren, RI 02885-2348.
- 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) 245-1500.
- 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 (1629449210) is active in the NPPES registry as of the last update on 2023-04-20.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.