LIFESPAN PHYSICIAN GROUP, INC.
NPI 1053782466
Anesthesiology in Providence, RI

Active since October 12, 2015
593 EDDY ST, PROVIDENCE, RI 02903(401) 444-5172(401) 444-5090 Get Directions Write a Review

NPPES record last updated: March 30, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Mar 30, 2026, Sep 18, 2024, Oct 22, 2021 and 2 more (5 updates tracked since 2015).

About Lifespan Physician Group, Inc. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LIFESPAN PHYSICIAN GROUP, INC. (NPI 1053782466), doing business as Brown Health Medical Group, is a healthcare organization registered as an anesthesiology in Providence, Rhode Island and active in the NPI registry since October 2015. The organization maintains 4 additional practice locations and lists Peter K Markell, Evp & Cfo, as its authorized official.

NPPES Registry Identity

NPI1053782466
Entity TypeOrganization
Primary Taxonomy207L00000X
Legal Business NameLIFESPAN PHYSICIAN GROUP, INC.
Location Address593 EDDY STProvidence, RI 02903-4923
Mailing Address117 Ellenfield St Ste 101Providence, RI 02905-4541 · (401) 444-6779 · Fax (401) 444-6912
Fax(401) 444-5090
Organization SubpartNo
Authorized OfficialPeter K MarkellEvp & Cfo · (401) 444-7914
Enumeration DateOctober 12, 2015
Last NPPES UpdateMarch 30, 20265 updates tracked since enumeration
NPPES CertifiedMarch 30, 2026
✔ NPI 1053782466 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyAnesthesiologyAllopathic & Osteopathic Physicians
Taxonomy Code207L00000X
Definition
An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery.
Also ListedNurse Anesthetist, Certified RegisteredTaxonomy 367500000X
593 EDDY ST, Providence, RI 02903

Other Names 1

Doing Business AsBrown Health Medical Group

Secondary Practice Locations 4

Location 162 Amaral StRiverside, RI 02915-2205 · Phone (401) 649-4970 · Fax (401) 649-4031
Location 2164 Summit AveProvidence, RI 02906-2853 · Phone (401) 444-5172 · Fax (401) 444-5090
Location 311 Friendship StNewport, RI 02840-2209 · Phone (401) 444-5172 · Fax (401) 444-5090
Location 4101 Dudley StProvidence, RI 02905-2401 · Phone (401) 444-5172 · Fax (401) 444-5090

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Lifespan Physician Group, Inc. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

112

Medicare enrollment records show 112 clinicians reassign Medicare billing to Lifespan Physician Group, Inc., which bills Medicare for the services they deliver. Of these, 87 practice at this address and 98 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 4

Anesthesiology69
Certified Registered Nurse Anesthetist (CRNA)41
Internal Medicine1
Nurse Practitioner1

Nearest to this location (20)

See all 112
Anesthesiology
NPI 1548871908
593 EDDY ST
Providence, RI 02903
(401) 444-5172
✔ PECOS✔ Accepts MedicareSame address
Anesthesiology
NPI 1568955813
593 EDDY ST
Providence, RI 02903
(401) 444-5172
✔ PECOS✔ Accepts MedicareSame address
Anesthesiology
NPI 1891227708
593 EDDY ST
Providence, RI 02903
(401) 444-5172
✔ PECOS✔ Accepts MedicareSame address
Certified Registered Nurse Anesthetist (CRNA)
NPI 1306967104
593 EDDY STREET DAVOL 129
Providence, RI 02903
(401) 444-4933
✔ PECOS✔ Accepts MedicareSame address
Anesthesiology
NPI 1366732331
593 EDDY ST DAVOL 129
Providence, RI 02903
(401) 444-5172
✔ PECOS✔ Accepts MedicareSame address
Anesthesiology
NPI 1174887541
593 EDDY ST
Providence, RI 02903
(401) 444-5172
✔ PECOS✔ Accepts MedicareSame address
Certified Registered Nurse Anesthetist (CRNA)
NPI 1376360800
593 EDDY ST
Providence, RI 02903
(401) 444-4000
✔ PECOS✔ Accepts MedicareSame address
Certified Registered Nurse Anesthetist (CRNA)
NPI 1811674419
593 EDDY ST
Providence, RI 02903
(401) 444-5172
✔ PECOS✔ Accepts MedicareSame address
Anesthesiology
NPI 1356307789
593 EDDY STREET DAVOL 129
Providence, RI 02903
(401) 444-4933
✔ PECOSSame address
Certified Registered Nurse Anesthetist (CRNA)
NPI 1700205812
593 EDDY ST
Providence, RI 02903
(401) 444-5172
✔ PECOSSame address
Certified Registered Nurse Anesthetist (CRNA)
NPI 1316563117
593 EDDY ST
Providence, RI 02903
(401) 444-4000
✔ PECOSSame address
Anesthesiology
NPI 1710504956
593 EDDY ST
Providence, RI 02903
(401) 444-5172
✔ PECOS✔ Accepts MedicareSame address
Certified Registered Nurse Anesthetist (CRNA)
NPI 1306160023
593 EDDY STREET DAVOL 129
Providence, RI 02903
(401) 444-4933
✔ PECOS✔ Accepts MedicareSame address
Anesthesiology
NPI 1669996450
593 EDDY ST
Providence, RI 02903
(401) 444-5172
✔ PECOS✔ Accepts MedicareSame address
Certified Registered Nurse Anesthetist (CRNA)
NPI 1477511244
593 EDDY STREET DAVOL 129
Providence, RI 02903
(401) 444-4933
✔ PECOS✔ Accepts MedicareSame address
Certified Registered Nurse Anesthetist (CRNA)
NPI 1851358048
593 EDDY STREET DAVOL 129
Providence, RI 02903
(401) 444-4933
✔ PECOS✔ Accepts MedicareSame address
Anesthesiology
NPI 1467611020
593 EDDY STREET DAVOL 129
Providence, RI 02903
(401) 444-4933
✔ PECOSSame address
Certified Registered Nurse Anesthetist (CRNA)
NPI 1063650976
593 EDDY STREET DAVOL 129
Providence, RI 02903
(401) 444-4933
✔ PECOS✔ Accepts MedicareSame address
Anesthesiology
NPI 1386905495
593 EDDY ST
Providence, RI 02903
(401) 444-5172
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1205469947
593 EDDY ST
Providence, RI 02903
(401) 444-5172
✔ PECOSSame address
See all 112 clinicians

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lifespan Physician Group, Inc.'s NPI number?

The NPI number for Lifespan Physician Group, Inc. is 1053782466. It was assigned to this organization in the NPPES registry on October 12, 2015. The provider is doing business as Brown Health Medical Group.

Where is Lifespan Physician Group, Inc. located?

Lifespan Physician Group, Inc. is located at 593 Eddy St, Providence, RI 02903. The listed phone number is (401) 444-5172.

What is Lifespan Physician Group, Inc.'s specialty?

The primary specialty registered for this NPI is Anesthesiology with taxonomy code 207L00000X.

Is Lifespan Physician Group, Inc. enrolled in Medicare?

Yes. Lifespan Physician Group, Inc. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Lifespan Physician Group, Inc.?

According to the CMS Revalidation Reassignment List (October 2026 release), 112 clinicians in 4 Medicare specialties reassign their Medicare billing to Lifespan Physician Group, Inc.. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Anesthesiology (69), Certified Registered Nurse Anesthetist (CRNA) (41) and Internal Medicine (1). Of these, 87 practice at this address and 98 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Lifespan Physician Group, Inc. accept?

Health plans from WellSense Health Plan list Lifespan Physician Group, Inc. as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Lifespan Physician Group, Inc. was last updated on March 30, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.