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LIFESPAN PHYSICIAN GROUP INC
NPI 1578424602
Dermatology in Providence, RI

Active since November 19, 2025
593 EDDY ST APC-10, PROVIDENCE, RI 02903(401) 444-7959(401) 444-7144 Get Directions Write a Review

NPPES record last updated: April 2, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Apr 2, 2026, Dec 2, 2025, Nov 19, 2025 (3 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 1578424602), doing business as Brown Health Medical Group, is a healthcare organization registered as a dermatology in Providence, Rhode Island and active in the NPI registry since November 2025. The organization maintains 7 additional practice locations and lists Christine Rawnsley, Vice President Revenue Cycle, as its authorized official.

NPPES Registry Identity

NPI1578424602
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameLIFESPAN PHYSICIAN GROUP INC
Location Address593 EDDY ST APC-10Providence, RI 02903-4923
Mailing Address15 La Salle SqProvidence, RI 02903-1814
Phone(401) 444-7959
Fax(401) 444-7144
Organization SubpartNo
Authorized OfficialChristine RawnsleyVice President Revenue Cycle · (401) 444-6905
Enumeration DateNovember 19, 2025
Last NPPES UpdateApril 2, 20263 updates tracked since enumeration
NPPES CertifiedApril 2, 2026
✔ NPI 1578424602 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
Definition
A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.
593 EDDY ST APC-10, Providence, RI 02903
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Other Names 1

Doing Business AsBrown Health Medical Group

Secondary Practice Locations 7

Location 165 Village Square Dr Ste 201South Kingstown, RI 02879-2569 · Phone (401) 444-7959
Location 2101 Dudley StProvidence, RI 02905-2401 · Phone (401) 444-7959
Location 3400 Bald Hill Rd Fl 2Warwick, RI 02886-1617 · Phone (401) 444-7959
Location 4375 Wampanoag Trl Ste 401Riverside, RI 02915-2237 · Phone (401) 444-7959
Location 517 Wells St Ste 203Westerly, RI 02891-2923 · Phone (401) 348-0660
Location 6164 Summit Ave, Fain Bldg, Ste 2DProvidence, RI 02906-2853 · Phone (401) 444-7959
Location 7167 Point St Ste 260Providence, RI 02903-4771 · Phone (401) 444-7959

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE 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, 460 practice at this address and 1,072 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
Geeta Abraham, PMHNP
Nurse Practitioner
NPI 1134772437
593 EDDY ST
Providence, RI 02903
(401) 444-4000
✔ PECOS✔ Accepts MedicareSame address
Anna Acidera, MD
Internal Medicine
NPI 1659547271
593 EDDY ST
Providence, RI 02903
(401) 444-3985
✔ PECOS✔ Accepts MedicareSame address
Christina Al Malouf, M.D.
Cardiovascular Disease (Cardiology)
NPI 1346692779
593 EDDY ST
Providence, RI 02903
(401) 444-5891
✔ PECOS✔ Accepts MedicareSame address
Ana Albuja Ponce, MD
Neurology
NPI 1336581347
593 EDDY ST
Providence, RI 02903
(401) 444-6195
✔ PECOS✔ Accepts MedicareSame address
Fahad Ali, MD
Emergency Medicine
NPI 1790308393
593 EDDY ST
Providence, RI 02903
(401) 444-6489
✔ PECOS✔ Accepts MedicareSame address
Jason Aliotta, MD
Pulmonary Disease
NPI 1558314757
593 EDDY STREET APC 7
Providence, RI 02903
(401) 444-3565
✔ PECOS✔ Accepts MedicareSame address
Khaled Alkhateeb, M.B.B.S.
Pathology
NPI 1295265478
593 EDDY STREET APC 12
Providence, RI 02903
(401) 444-5057
✔ PECOS✔ Accepts MedicareSame address
Lauren Allister, MD
Pediatric Medicine
NPI 1326002288
593 EDDY ST
Providence, RI 02903
(401) 444-4000
✔ PECOSSame address
Marcella Aquino, MD
Allergy/Immunology
NPI 1356563670
593 EDDY ST
Providence, RI 02903
(401) 444-6195
✔ PECOS✔ Accepts MedicareSame address
Wael Asaad, MD, PHD
Neurosurgery
NPI 1770619165
593 EDDY ST FL 6 RIH DEPARTMENT OF NEUROSURGERY
Providence, RI 02903
(401) 793-9166
✔ PECOS✔ Accepts MedicareSame address
Rupa Bala, MD
Cardiac Electrophysiology
NPI 1417983123
593 EDDY ST
Providence, RI 02903
(401) 444-5891
✔ PECOS✔ Accepts MedicareSame address
Dardan Beqiri, MD
Plastic and Reconstructive Surgery
NPI 1467982082
593 EDDY STREET
Providence, RI 02903
(401) 444-4188
✔ PECOS✔ Accepts MedicareSame address
Lionel Bercovitch, M.D.
Dermatology
NPI 1962473314
593 EDDY STREET, APC-10
Providence, RI 02903
(401) 444-7959
✔ PECOS✔ Accepts MedicareSame address
Reena Bhatt
Hand Surgery
NPI 1578781316
593 EDDY ST
Providence, RI 02903
(401) 444-8450
✔ PECOS✔ Accepts MedicareSame address
Rebecca Burns, MD
Infectious Disease
NPI 1740748268
593 EDDY ST
Providence, RI 02903
(401) 444-7793
✔ PECOS✔ Accepts MedicareSame address
Katharine Darland, M.D.
Family Practice
NPI 1093247660
593 EDDY ST
Providence, RI 02903
(401) 444-3985
✔ PECOS✔ Accepts MedicareSame address
Brijal Desai, MD
Radiation Oncology
NPI 1811282767
593 EDDY ST
Providence, RI 02903
(401) 444-3600
✔ PECOSSame address
Ryan Desrochers, MD
General Surgery
NPI 1649809179
593 EDDY ST
Providence, RI 02903
(401) 444-2695
✔ PECOSSame address
Yannick D'silva, M.D.
Hospitalist
NPI 1730672536
593 EDDY ST
Providence, RI 02903
(401) 444-4000
✔ PECOS✔ Accepts MedicareSame address
Ahmed Elkaryoni, M.D.
Interventional Cardiology
NPI 1851829410
593 EDDY ST
Providence, RI 02903
(401) 444-5328
✔ PECOS✔ Accepts MedicareSame address
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.

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 1578424602. 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 593 Eddy St Apc-10, Providence, RI 02903. The listed phone number is (401) 444-7959.

What is Lifespan Physician Group Inc's specialty?

The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.

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, 460 practice at this address and 1,072 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Lifespan Physician Group Inc was last updated on April 2, 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.