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LIFESPAN PHYSICIAN GROUP, INC.
NPI 1174484216
Surgery in Providence, RI

Active since November 19, 2025CLIA Certified · 3 labs
2 DUDLEY ST STE 470, PROVIDENCE, RI 02905(401) 272-1800(401) 751-5124 Get Directions Write a Review

NPPES record last updated: December 2, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Dec 2, 2025, Nov 19, 2025 (2 updates tracked since 2025).

About Lifespan Physician Group, Inc. NPPES

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

LIFESPAN PHYSICIAN GROUP, INC. (NPI 1174484216), doing business as Brown Health Medical Group, is a healthcare organization registered as a surgery in Providence, Rhode Island and active in the NPI registry since November 2025. The organization holds 3 active CLIA laboratory certificates, maintains 16 additional practice locations, and lists Christine Rawnsley, Vp Revenue Cycle, as its authorized official.

NPPES Registry Identity

NPI1174484216
Entity TypeOrganization
Primary Taxonomy208600000X
Legal Business NameLIFESPAN PHYSICIAN GROUP, INC.
Location Address2 DUDLEY ST STE 470Providence, RI 02905-3248
Mailing Address15 La Salle SqProvidence, RI 02903-1814
Phone(401) 272-1800
Fax(401) 751-5124
Organization SubpartNo
Authorized OfficialChristine RawnsleyVp Revenue Cycle · (401) 444-6905
Enumeration DateNovember 19, 2025
Last NPPES UpdateDecember 2, 20252 updates tracked since enumeration
NPPES CertifiedDecember 2, 2025
✔ NPI 1174484216 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
2 DUDLEY ST STE 470, Providence, RI 02905
Open in Google Maps ↗

Other Names 1

Doing Business AsBrown Health Medical Group

Secondary Practice Locations 16

Location 12 DUDLEY ST STE 190Providence, RI 02905-3248 · Phone (401) 272-1800 · Fax (401) 751-5124
Location 2900 WARREN AVE STE 202EAST PROVIDENCE, RI 02914-1430 · Phone (401) 272-1800 · Fax (401) 751-5124
Location 3208 COLLYER ST STE 301AProvidence, RI 02904-1560 · Phone (401) 725-4888 · Fax (401) 725-3336
Location 4100 HIGHLAND AVE STE 308Providence, RI 02906-2753 · Phone (401) 272-1800 · Fax (401) 751-5124
Location 5450 VETERANS MEMORIAL PKWY BLDG 9EAST PROVIDENCE, RI 02914-5300 · Phone (401) 272-1800 · Fax (401) 751-5124
Location 62 DUDLEY ST STE 370Providence, RI 02905-3248 · Phone (401) 272-1800 · Fax (401) 751-5124
Location 71500 PONTIAC AVECranston, RI 02920-4486 · Phone (401) 272-1800 · Fax (401) 751-5124
Location 8164 SUMMIT AVE # C70Providence, RI 02906-2853 · Phone (401) 793-4545 · Fax (401) 793-7866
Location 9562 WASHINGTON STSOUTH ATTLEBORO, MA 02703-6942 · Phone (401) 272-1800 · Fax (401) 751-5124
Location 10593 EDDY ST APC 4Providence, RI 02903-4923 · Phone (401) 272-1800 · Fax (401) 751-5124
Location 111524 ATWOOD AVEJOHNSTON, RI 02919-3248 · Phone (401) 272-1800 · Fax (401) 751-5124
Location 12639 METACOM AVEWARREN, RI 02885-2348 · Phone (401) 272-1800 · Fax (401) 751-5124
Location 131407 S COUNTY TRL STE 423EAST GREENWICH, RI 02818-1761 · Phone (401) 228-0590 · Fax (401) 471-7301
Location 14195 COLLYER ST STE 302Providence, RI 02904-1869 · Phone (401) 793-3236 · Fax (401) 793-5171
Location 1519 FRIENDSHIP ST UNIT 240Newport, RI 02840-2200 · Phone (401) 619-3930 · Fax (401) 619-3932
Location 162 Wake Robin Rd Ste 205Lincoln, RI 02865-4241 · Phone (401) 272-1800 · Fax (401) 751-5124

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

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

1,369

Medicare enrollment records show 1,369 clinicians reassign Medicare billing to Lifespan Physician Group, Inc., which bills Medicare for the services they deliver. Of these, 14 practice at this address and 41 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 54

Internal Medicine239
Nurse Practitioner233
Emergency Medicine144
Pediatric Medicine73
Cardiovascular Disease (Cardiology)60
Obstetrics/Gynecology60
Ophthalmology38
General Surgery37
46 other specialties485

Nearest to this location (20)

See all 1,369
Jessica Amaral, NP
Nurse Practitioner
NPI 1770289019
2 DUDLEY ST STE 470
Providence, RI 02905
(401) 553-8333
✔ PECOS✔ Accepts MedicareSame address
Sandy Leger, RN
Nurse Practitioner
NPI 1457921900
2 DUDLEY ST STE 470
Providence, RI 02905
(401) 553-8320
✔ PECOS✔ Accepts MedicareSame address
Stephanie Lueckel, M.D.
General Surgery
NPI 1073730065
2 DUDLEY ST STE 470
Providence, RI 02905
(401) 228-0630
✔ PECOS✔ Accepts MedicareSame address
Richard Meena, MD
Vascular Surgery
NPI 1558866350
2 DUDLEY ST STE 470
Providence, RI 02905
(401) 553-8333
✔ PECOS✔ Accepts MedicareSame address
Allison Letica Kriegel, MD
General Surgery
NPI 1891215067
2 DUDLEY ST STE 470
Providence, RI 02905
(401) 223-0962
✔ PECOS✔ Accepts MedicareSame address
Thomas Ng, MD
Thoracic Surgery
NPI 1992703938
2 DUDLEY ST STE 470
Providence, RI 02905
(401) 553-8320
✔ PECOS✔ Accepts MedicareSame address
Dhaval Patel, M.D.
General Surgery
NPI 1770753071
2 DUDLEY ST STE 470
Providence, RI 02905
(401) 272-1800
✔ PECOS✔ Accepts MedicareSame address
Hana Ajouz, MEDICAL DOCTOR
Thoracic Surgery
NPI 1639690951
2 DUDLEY ST STE 470
Providence, RI 02905
(401) 228-0621
✔ PECOS✔ Accepts MedicareSame address
Meghan Blanchette, NP
Nurse Practitioner
NPI 1861198103
2 DUDLEY ST STE 470
Providence, RI 02905
(401) 553-8355
✔ PECOS✔ Accepts MedicareSame address
Nicole Demir
Nurse Practitioner
NPI 1730532391
2 DUDLEY ST STE 470
Providence, RI 02905
(401) 228-0568
✔ PECOS✔ Accepts MedicareSame address
Kathleen Greggerson, FNP-BC
Nurse Practitioner
NPI 1437826203
2 DUDLEY ST STE 470
Providence, RI 02905
(401) 553-8320
✔ PECOS✔ Accepts MedicareSame address
Niel Page, MD
General Surgery
NPI 1629538863
2 DUDLEY ST STE 470
Providence, RI 02905
(401) 553-8355
✔ PECOS✔ Accepts MedicareSame address
Thach Pham, M.D.
General Surgery
NPI 1518137223
2 DUDLEY ST STE 470
Providence, RI 02905
(401) 553-8353
✔ PECOSSame address
Holden Spivak, MD
General Surgery
NPI 1982196218
2 DUDLEY ST STE 470
Providence, RI 02905
(401) 553-8355
✔ PECOS✔ Accepts MedicareSame address
James Chiou, MD
Hospitalist
NPI 1770137853
19 MENDON ST UNIT 1
Blackstone, MA 01504
(978) 575-5651
✔ PECOS✔ Accepts Medicare2.7 mi
Jenna Callahan, APRN
Nurse Practitioner
NPI 1679938971
69 BRADLEY ST
Woonsocket, RI 02895
(401) 744-3652
✔ PECOS3.2 mi
Syed Mehdi, MD
Internal Medicine
NPI 1962439786
450 CLINTON STREET THUNDERMIST HEALTH CENTER
Woonsocket, RI 02895
(401) 767-4100
✔ PECOS✔ Accepts Medicare3.6 mi
Peter Brasch, MD
Ophthalmology
NPI 1023009404
1 THURBER BLVD SUITE B
Smithfield, RI 02917
(401) 349-5360
✔ PECOS✔ Accepts Medicare5.6 mi
Allison Taskin, AGACNP-BC
Nurse Practitioner
NPI 1730785189
16 PINE GROVE AVE
Lincoln, RI 02865
(401) 474-7724
✔ PECOS✔ Accepts Medicare5.8 mi
Lauren Conner, MD, MA
Internal Medicine
NPI 1306338082
900 DOUGLAS PIKE
Smithfield, RI 02917
(401) 649-4050
✔ PECOS✔ Accepts Medicare5.8 mi
See all 1,369 clinicians

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

CLIA Laboratory Certificates CMS CLIA 3

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 41D2007516

Lifespan Physician Group, Inc Obstetrics & Gynecology · East Providence, RI
Active · expires May 17, 2028
CLIA Number41D2007516
Laboratory TypePhysician Office
Certificate Effective DateMay 18, 2026
Certificate Expiration DateMay 17, 2028
Laboratory DirectorDr. Paula Deyoung MD
Laboratory Phone(401) 606-3000
Laboratory LocationLifespan Physician Group, Inc Obstetrics & Gynecology900 Warren Avenue Suite 101, East Providence, RI 02914
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 41D0941668

Lifespan Physician Group, Inc Obstetrics & Gynecology · Providence, RI
Active · expires Mar 25, 2028
CLIA Number41D0941668
Laboratory TypePhysician Office
Certificate Effective DateMarch 26, 2026
Certificate Expiration DateMarch 25, 2028
Laboratory DirectorNwamaka M. Onwugbenu MD
Laboratory Phone(401) 606-3000
Laboratory LocationLifespan Physician Group, Inc Obstetrics & Gynecology148 West River Street Ste 8, Providence, RI 02904
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 41D2041521

Lifespan Physician Group - Obstetrics & Gynecology · East Greenwich, RI
Active · expires Feb 24, 2028
CLIA Number41D2041521
Laboratory TypePhysician Office
Certificate Effective DateFebruary 25, 2026
Certificate Expiration DateFebruary 24, 2028
Laboratory DirectorAnnmarie Jurczak MD
Laboratory Phone(401) 606-3000
Laboratory LocationLifespan Physician Group - Obstetrics & Gynecology1377 South County Trail Unit 2A, East Greenwich, RI 02818
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

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 1174484216. It was assigned to this organization in the NPPES registry on November 19, 2025. The provider is doing business as Brown Health Medical Group.

Where is Lifespan Physician Group, Inc. located?

Lifespan Physician Group, Inc. is located at 2 Dudley St Ste 470, Providence, RI 02905. The listed phone number is (401) 272-1800.

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

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

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), 1,369 clinicians in 54 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 Internal Medicine (239), Nurse Practitioner (233) and Emergency Medicine (144). Of these, 14 practice at this address and 41 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Lifespan Physician Group, Inc. hold CLIA laboratory certificates?

Yes. 3 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for Lifespan Physician Group, Inc. was last updated on December 2, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.