RYAN DESROCHERS MD
NPI 1649809179
Surgery in Providence, RI

Q: What is Ryan Desrochers's NPI number?

The NPI number for Ryan Desrochers is 1649809179. It was assigned to this individual provider in the NPPES registry on April 6, 2020.

Q: What is Ryan Desrochers's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Ryan Desrochers was last updated on July 14, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.

Active since April 06, 2020PECOS Enrolled

593 EDDY ST, PROVIDENCE, RI 02903(401) 444-2695(401) 444-4165 Get Directions Write a Review

NPPES record last updated: July 14, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jul 14, 2026, Jul 7, 2025, Apr 6, 2020 (3 updates tracked since 2020).

On this page

About Ryan Desrochers Md NPPES

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

RYAN DESROCHERS MD (NPI 1649809179) is an individual surgery provider in Providence, Rhode Island, licensed in Rhode Island (MD21443) and active in the NPI registry since April 2020. He is enrolled in Medicare PECOS and is a graduate of Warren Alpert Medical School Of Brown University (2020).

NPPES Registry Identity

NPI1649809179

Entity TypeIndividualMale

Primary Taxonomy208600000X

Provider Legal NameRYAN DESROCHERSCredential: MD

Location Address593 EDDY STProvidence, RI 02903-4923

Mailing Address15 Lasalle SquareProvidence, RI 02903 · (401) 444-6779 · Fax (401) 444-6839

Phone(401) 444-2695

Fax(401) 444-4165

Sole ProprietorNo

Medical School CMSWarren Alpert Medical School Of Brown UniversityGraduated 2020

Enumeration DateApril 6, 2020

Last NPPES UpdateJuly 14, 20263 updates tracked since enumeration

NPPES CertifiedJuly 14, 2026

✔ NPI 1649809179 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians

Taxonomy Code208600000X

License✔ Licensed in RI · MD21443

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.

593 EDDY ST, Providence, RI 02903

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ryan Desrochers Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID4688148000

PECOS Enrollment IDI20260707001308

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Ryan Desrochers reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Lifespan Physician Group, Inc.

Same address

General Practice

593 EDDY ST
Providence, RI 02903

Reassigned Medicare billing, Rhode Island enrollment
1,372 clinicians in this Medicare group

NPI 1407116643 (401) 444-6779

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02903 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$90.48 typical visit price

range $58.57 – $177.03

Typical copayment $22.62 (range $14.64 – $44.25)

Most-billed visit code 99203

Established Patient

$72.93 typical visit price

range $18.92 – $144.38

Typical copayment $18.23 (range $4.73 – $36.09)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. KEITH-AUSTIN SCARFO D.O.

Anesthesiology

593 EDDY ST, APC 6
PROVIDENCE, RI 02903

Providence County (401) 444-3777

AILEEN HSUEH

Surgery

593 EDDY ST
PROVIDENCE, RI 02903

Providence County (401) 444-8450

RHODE ISLAND HOSPITAL

General Acute Care Hospital

593 EDDY ST, MAIN 4
PROVIDENCE, RI 02903

Providence County (401) 444-7585

DR. GA HIE NAM M.D.

Pathology (Anatomic Pathology & Clinical Pathology)

593 EDDY ST
PROVIDENCE, RI 02903

Providence County (401) 444-5057

EUGENIE ATALLAH

Psychiatry & Neurology (Neurology)

593 EDDY ST
PROVIDENCE, RI 02903

Providence County (401) 606-2645

BRET CAULFIELD

Physician Assistant

593 EDDY ST
PROVIDENCE, RI 02903

Providence County (401) 444-4000

JUNG HO GONG

Student in an Organized Health Care Education/Training Program

593 EDDY ST
PROVIDENCE, RI 02903

Providence County (401) 793-2695

FANNY HUANG MD

Student in an Organized Health Care Education/Training Program

593 EDDY ST
PROVIDENCE, RI 02903

Providence County (401) 444-4741

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 Ryan Desrochers's NPI number?

The NPI number for Ryan Desrochers is 1649809179. It was assigned to this individual provider in the NPPES registry on April 6, 2020.

Where is Ryan Desrochers located?

Ryan Desrochers practices at 593 Eddy St, Providence, RI 02903. The listed phone number is (401) 444-2695.

What is Ryan Desrochers's specialty?

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

Is Ryan Desrochers enrolled in Medicare?

Yes. Ryan Desrochers is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Ryan Desrochers's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Ryan Desrochers reassigns Medicare benefits to Lifespan Physician Group, Inc. (Providence, RI). The 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 Ryan Desrochers's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Ryan Desrochers was last updated on July 14, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.