LIFESPAN PHYSICIAN GROUP INC
NPI 1720949803
Urology in Providence, RI

Q: What is Lifespan Physician Group Inc's NPI number?

The NPI number for Lifespan Physician Group Inc is 1720949803. It was assigned to this organization in the NPPES registry on November 19, 2025. The provider is doing business as Brown Health Medical Group.

Q: What is Lifespan Physician Group Inc's specialty?

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

Active since November 19, 2025

195 COLLYER ST STE 201, PROVIDENCE, RI 02904(401) 272-7799 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).

On this page

About Lifespan Physician Group Inc NPPES

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

LIFESPAN PHYSICIAN GROUP INC (NPI 1720949803), doing business as Brown Health Medical Group, is a healthcare organization registered as an urology in Providence, Rhode Island and active in the NPI registry since November 2025. The organization maintains 9 additional practice locations and lists Christine Rawnsley, Vice President Revenue Cycle, as its authorized official.

NPPES Registry Identity

NPI1720949803

Entity TypeOrganization

Primary Taxonomy208800000X

Legal Business NameLIFESPAN PHYSICIAN GROUP INC

Location Address195 COLLYER ST STE 201Providence, RI 02904-1869

Mailing Address15 La Salle SqProvidence, RI 02903-1814 · (401) 444-6779

Phone(401) 272-7799

Organization SubpartNo

Authorized OfficialChristine RawnsleyVice President Revenue Cycle · (401) 444-6905

Enumeration DateNovember 19, 2025

Last NPPES UpdateDecember 2, 20252 updates tracked since enumeration

NPPES CertifiedDecember 2, 2025

✔ NPI 1720949803 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyUrologyAllopathic & Osteopathic Physicians

Taxonomy Code208800000X

Definition

A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.

195 COLLYER ST STE 201, Providence, RI 02904

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Other Names 1

Doing Business AsBrown Health Medical Group

Secondary Practice Locations 9

Location 1825 N Main StProvidence, RI 02904-5767 · Phone (401) 383-5710

Location 223 Powel Ave Ste 1Newport, RI 02840-2671 · Phone (401) 272-7799

Location 3827 N Main St Ste 4Providence, RI 02904-5751 · Phone (401) 383-5710

Location 4195 Collyer St Ste 104Providence, RI 02904-1869 · Phone (401) 272-7799

Location 5164 Summit AveProvidence, RI 02906-2853 · Phone (401) 272-7799

Location 6101 Dudley StProvidence, RI 02905-2401 · Phone (401) 272-7799

Location 72 Dudley St Ste 175Providence, RI 02905-3246 · Phone (401) 421-0710

Location 8593 Eddy StProvidence, RI 02903-4923 · Phone (401) 272-7799

Location 9450 Veterans Memorial Pkwy Unit 14East Providence, RI 02914-5300 · Phone (401) 435-6600

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, 19 practice at this address and 1,054 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

Liza Aguiar, MD

Urology

NPI 1861652349

195 COLLYER ST 201
Providence, RI 02904

(401) 276-2002

✔ PECOS✔ Accepts MedicareSame address

Lauren Bakios

Urology

NPI 1912310301

195 COLLYER ST STE 201
Providence, RI 02904

(401) 272-7799

✔ PECOS✔ Accepts MedicareSame address

Elias Hyams, MD

Urology

NPI 1609047307

195 COLLYER ST STE 201
Providence, RI 02904

(401) 272-7799

✔ PECOS✔ Accepts MedicareSame address

Amanda Jin-Corcoran

Nurse Practitioner

NPI 1265125397

195 COLLYER ST STE 201
Providence, RI 02904

(401) 272-7799

✔ PECOS✔ Accepts MedicareSame address

Sari Khaleel, M.D.

Urology

NPI 1306290184

195 COLLYER ST STE 201
Providence, RI 02904

(401) 272-7799

✔ PECOS✔ Accepts MedicareSame address

Todd Stafford, MD

General Surgery

NPI 1013178029

195 COLLYER ST STE 302
Providence, RI 02904

(401) 228-0633

✔ PECOS✔ Accepts MedicareSame address

Thomas Carruthers, MD

Vascular Surgery

NPI 1720206568

195 COLLYER ST STE 302
Providence, RI 02904

(401) 793-7632

✔ PECOS✔ Accepts MedicareSame address

Kristen Chapian, CNP

Nurse Practitioner

NPI 1003463316

195 COLLYER ST STE 302
Providence, RI 02904

(401) 793-5708

✔ PECOS✔ Accepts MedicareSame address

David Cloutier, MD

General Surgery

NPI 1801835939

195 COLLYER ST SUITE 302
Providence, RI 02904

(401) 793-5702

✔ PECOS✔ Accepts MedicareSame address

Sunhe Fusco

Nurse Practitioner

NPI 1487902276

195 COLLYER ST SUITE 302
Providence, RI 02904

(401) 793-5708

✔ PECOS✔ Accepts MedicareSame address

Andrew Luhrs, M.D.

General Surgery

NPI 1902243231

195 COLLYER ST STE 302
Providence, RI 02904

(401) 793-5701

✔ PECOS✔ Accepts MedicareSame address

Gary Roye, MD

General Surgery

NPI 1912905969

195 COLLYER ST STE 302
Providence, RI 02904

(401) 793-5708

✔ PECOSSame address

Vanessa Ventura, CNP

Nurse Practitioner

NPI 1720526270

195 COLLYER ST STE 302
Providence, RI 02904

(401) 270-7710

✔ PECOS✔ Accepts MedicareSame address

Rebecca Gologorsky, M.D.

Colorectal Surgery (Proctology)

NPI 1710374343

208 COLLYER ST STE 301A
Providence, RI 02904

(401) 725-4888

✔ PECOS✔ Accepts MedicareSame address

Adam Klipfel, M.D.

Colorectal Surgery (Proctology)

NPI 1114988243

208 COLLYER ST SUITE
Providence, RI 02904

(401) 725-4888

✔ PECOS✔ Accepts MedicareSame address

Leslie Roth, M.D.

Colorectal Surgery (Proctology)

NPI 1386764785

208 COLLYER ST SUITE 302
Providence, RI 02904

(401) 553-8312

✔ PECOS✔ Accepts MedicareSame address

Steven Schechter, M.D.

Colorectal Surgery (Proctology)

NPI 1740241876

208 COLLYER ST SUITE 302
Providence, RI 02904

(401) 725-4888

✔ PECOS✔ Accepts MedicareSame address

Douglas Burtt, M.D.

Cardiovascular Disease (Cardiology)

NPI 1962449900

208 COLLYER ST
Providence, RI 02904

(401) 793-7191

✔ PECOS✔ Accepts MedicareSame address

Paul Gordon, MD

Interventional Cardiology

NPI 1568496677

208 COLLYER ST STE 100
Providence, RI 02904

(401) 793-7191

✔ PECOS✔ Accepts MedicareSame address

Peter Soukas, M.D.

Cardiovascular Disease (Cardiology)

NPI 1467447763

208 COLLYER ST SUITE 100
Providence, RI 02904

(401) 793-7191

✔ 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 1720949803. 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 195 Collyer St Ste 201, Providence, RI 02904. The listed phone number is (401) 272-7799.

What is Lifespan Physician Group Inc's specialty?

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

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, 19 practice at this address and 1,054 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 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.