LIFESPAN PHYSICIAN GROUP, INC.
NPI 1285191163
Clinic/Center - Urgent Care in Warwick, RI

Active since February 27, 2019CLIA Certified · 4 labs
17 AIRPORT RD, WARWICK, RI 02889(401) 606-2520(401) 384-7190 Get Directions Write a Review

NPPES record last updated: March 31, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Mar 31, 2026, Sep 18, 2024, Dec 27, 2022 and 4 more (7 updates tracked since 2019).

About Lifespan Physician Group, Inc. NPPES

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

LIFESPAN PHYSICIAN GROUP, INC. (NPI 1285191163), doing business as Brown University Health Urgent Care, is a healthcare organization registered as an urgent care in Warwick, Rhode Island and active in the NPI registry since February 2019. The organization holds 4 active CLIA laboratory certificates, maintains 4 additional practice locations, and lists Peter K Markell, Evp & Cfo, as its authorized official.

NPPES Registry Identity

NPI1285191163
Entity TypeOrganization
Primary Taxonomy261QU0200X
Legal Business NameLIFESPAN PHYSICIAN GROUP, INC.
Location Address17 AIRPORT RDWarwick, RI 02889-1001
Mailing Address117 Ellenfield St Ste 101Providence, RI 02905-4513 · (401) 444-6779 · Fax (401) 444-6912
Fax(401) 384-7190
Organization SubpartYesParent: Lifespan Corporation
Authorized OfficialPeter K MarkellEvp & Cfo · (401) 444-7914
Enumeration DateFebruary 27, 2019
Last NPPES UpdateMarch 31, 20267 updates tracked since enumeration
NPPES CertifiedMarch 31, 2026
✔ NPI 1285191163 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Urgent CareAmbulatory Health Care Facilities
Taxonomy Code261QU0200X
Also ListedGeneral PracticeTaxonomy 208D00000X
17 AIRPORT RD, Warwick, RI 02889

Other Names 1

Doing Business AsBrown University Health Urgent Care

Secondary Practice Locations 4

Location 11360 W Main RdMiddletown, RI 02842-6301 · Phone (401) 606-3110 · Fax (401) 619-8969
Location 266 Branch Ave Ste 150Providence, RI 02904-2737 · Phone (401) 606-2590 · Fax (401) 606-2591
Location 311 Commerce Way Ste 5Johnston, RI 02919-4613 · Phone (401) 606-2610 · Fax (401) 606-2619
Location 4236 County RdBarrington, RI 02806-4545 · Phone (401) 606-3550 · Fax (401) 606-3551

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

28

Medicare enrollment records show 28 clinicians reassign Medicare billing to Lifespan Physician Group, Inc., which bills Medicare for the services they deliver. Of these, 2 practice at this address and 21 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 3

Nurse Practitioner23
Family Practice4
Internal Medicine1

Nearest to this location (20)

See all 28
Family Practice
NPI 1558324970
17 AIRPORT RD
Warwick, RI 02889
(401) 606-2520
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1114533783
17 AIRPORT RD
Warwick, RI 02889
(401) 606-2520
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1972566396
400 BALD HILL ROAD
Warwick, RI 02886
(401) 232-7001
✔ PECOS✔ Accepts Medicare3.7 mi
Nurse Practitioner
NPI 1699301069
236 COUNTY RD
Barrington, RI 02806
(401) 606-3550
✔ PECOS✔ Accepts Medicare5.3 mi
Family Practice
NPI 1770069718
236 COUNTY RD
Barrington, RI 02806
(401) 606-3550
✔ PECOS✔ Accepts Medicare5.3 mi
Nurse Practitioner
NPI 1699625285
593 EDDY ST
Providence, RI 02903
(860) 222-0949
✔ PECOS✔ Accepts Medicare5.4 mi
Nurse Practitioner
NPI 1699495242
186 PROVIDENCE ST
West Warwick, RI 02893
(401) 615-2800
✔ PECOS✔ Accepts Medicare5.7 mi
Nurse Practitioner
NPI 1770632523
1407 S COUNTY TRL STE 432
East Greenwich, RI 02818
(401) 398-0288
✔ PECOS✔ Accepts Medicare7.1 mi
Nurse Practitioner
NPI 1235723263
66 BRANCH AVE
Providence, RI 02904
(401) 606-2590
✔ PECOS✔ Accepts Medicare7.6 mi
Family Practice
NPI 1427673458
66 BRANCH AVE STE 150
Providence, RI 02904
(401) 606-2590
✔ PECOS✔ Accepts Medicare7.6 mi
Nurse Practitioner
NPI 1619731585
66 BRANCH AVE STE 150
Providence, RI 02904
(401) 606-2590
✔ PECOS✔ Accepts Medicare7.6 mi
Nurse Practitioner
NPI 1902533441
66 BRANCH AVE
Providence, RI 02904
(401) 606-2590
✔ PECOS✔ Accepts Medicare7.6 mi
Nurse Practitioner
NPI 1619432531
66 BRANCH AVE STE 150
Providence, RI 02904
(401) 606-2590
✔ PECOS✔ Accepts Medicare7.6 mi
Nurse Practitioner
NPI 1609642065
66 BRANCH AVE STE 150
Providence, RI 02904
(401) 606-2590
✔ PECOS✔ Accepts Medicare7.6 mi
Nurse Practitioner
NPI 1326615246
66 BRANCH AVE STE 150
Providence, RI 02904
(401) 606-2590
✔ PECOS✔ Accepts Medicare7.6 mi
Nurse Practitioner
NPI 1154121978
66 BRANCH AVE STE 150
Providence, RI 02904
(401) 606-2590
✔ PECOS✔ Accepts Medicare7.6 mi
Nurse Practitioner
NPI 1841807633
66 BRANCH AVE STE 150
Providence, RI 02904
(401) 606-2590
✔ PECOS✔ Accepts Medicare7.6 mi
Nurse Practitioner
NPI 1235470394
11 COMMERCE WAY STE 5
Johnston, RI 02919
(401) 606-2610
✔ PECOS✔ Accepts Medicare7.7 mi
Nurse Practitioner
NPI 1932743929
799 HOPE ST
Providence, RI 02906
(401) 331-5240
✔ PECOS✔ Accepts Medicare8.0 mi
Nurse Practitioner
NPI 1235868969
727 EAST AVE
Pawtucket, RI 02860
(401) 725-6160
✔ PECOS✔ Accepts Medicare8.6 mi
See all 28 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 4

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 of Waiver 41D2183456

Lifespan Physician Group, Inc · Providence, RI
Active · expires May 5, 2028
CLIA Number41D2183456
Laboratory TypeUrgent Care
Certificate Effective DateMay 6, 2026
Certificate Expiration DateMay 5, 2028
Laboratory DirectorOliver M. Gherardi Do
Laboratory Phone(401) 606-2590
Laboratory LocationLifespan Physician Group, Inc66 Branch Ave Suite 150, Providence, RI 02904
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 41D2173268

Lifespan Physician Group, Inc · Middletown, RI
Active · expires Oct 8, 2027
CLIA Number41D2173268
Laboratory TypeUrgent Care
Certificate Effective DateOctober 9, 2025
Certificate Expiration DateOctober 8, 2027
Laboratory DirectorOlivier M. Gherardi Do
Laboratory Phone(401) 606-3110
Laboratory LocationLifespan Physician Group, Inc1360 W Main Rd, Middletown, RI 02842
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 41D2273058

Lifespan Physician Group, Inc · Johnston, RI
Active · expires Dec 5, 2026
CLIA Number41D2273058
Laboratory TypeUrgent Care
Certificate Effective DateDecember 6, 2024
Certificate Expiration DateDecember 5, 2026
Laboratory DirectorDr. Olivier Gherardi
Laboratory Phone(401) 606-2610
Laboratory LocationLifespan Physician Group, Inc11 Commerce Way, Unit 5, Johnston, RI 02919
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 41D2167157

Lifespan Physicians Group, Inc · Warwick, RI
Active · expires Jun 3, 2027
CLIA Number41D2167157
Laboratory TypeUrgent Care
Certificate Effective DateJune 4, 2025
Certificate Expiration DateJune 3, 2027
Laboratory DirectorOlivier M. Gherardi Do
Laboratory Phone(401) 606-2520
Laboratory LocationLifespan Physicians Group, Inc17 Airport Rd, Warwick, RI 02889
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory to perform only 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 1285191163. It was assigned to this organization in the NPPES registry on February 27, 2019. The provider is doing business as Brown University Health Urgent Care.

Where is Lifespan Physician Group, Inc. located?

Lifespan Physician Group, Inc. is located at 17 Airport Rd, Warwick, RI 02889. The listed phone number is (401) 606-2520.

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

The primary specialty registered for this NPI is Clinic/Center, specializing in Urgent Care, with taxonomy code 261QU0200X.

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), 28 clinicians in 3 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 Nurse Practitioner (23), Family Practice (4) and Internal Medicine (1). Of these, 2 practice at this address and 21 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. 4 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.

What insurance does Lifespan Physician Group, Inc. accept?

Health plans from Harvard Pilgrim Health Care 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 31, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.