KEVIN J SCULLY MD
NPI 1770978363
Pediatrics - Pediatric Endocrinology in Providence, RI
About Kevin J Scully Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KEVIN J SCULLY MD (NPI 1770978363) is an individual pediatric endocrinology provider in Providence, Rhode Island, licensed in Rhode Island (MD18498) and active in the NPI registry since April 2015. He is enrolled in Medicare PECOS, is affiliated with Rhode Island Hospital, and maintains a secondary practice location in Boston.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Kevin J Scully Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignments
2Medicare enrollment records show Kevin Scully reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Providence, RI 02903
- Reassigned Medicare billing, Massachusetts and Rhode Island enrollments
- 55 clinicians in this Medicare group
Providence, RI 02903
- Reassigned Medicare billing, Rhode Island enrollment
- 265 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Hospital Affiliations CMS Care Compare 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Rhode Island Hospital
Acute Care Hospitals · Providence, RIThe Miriam Hospital
Acute Care Hospitals · Providence, RIPhysician 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.
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.
PROVIDENCE, RI 02903
PROVIDENCE, RI 02903
PROVIDENCE, RI 02903
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 Kevin Scully's NPI number?
The NPI number for Kevin Scully is 1770978363. It was assigned to this individual provider in the NPPES registry on April 1, 2015.
Where is Kevin Scully located?
Kevin Scully practices at 593 Eddy St, Providence, RI 02903. The listed phone number is (401) 444-6195.
What is Kevin Scully's specialty?
The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Endocrinology, with taxonomy code 2080P0205X.
Is Kevin Scully enrolled in Medicare?
Yes. Kevin Scully is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Kevin Scully's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kevin Scully reassigns Medicare benefits to 2 organizations: Lifespan Physician Group, Inc. (Providence, RI) and Rhode Island Hospital (Providence, RI). Each 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 Kevin Scully's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Kevin Scully accept?
Health plans from Taro Health list Kevin Scully 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.
Is Kevin Scully affiliated with any hospitals?
According to CMS data, Kevin Scully is affiliated with Rhode Island Hospital and The Miriam Hospital.
When was this NPI record last updated?
The NPPES record for Kevin Scully was last updated on June 3, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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.
# Kevin J Scully, MD · NPI 1770978363
Pediatric Endocrinology physician in Providence, Rhode Island. Individual provider, active in the CMS NPPES registry since April 1, 2015.
## Identity
- **NPI:** 1770978363 (Entity type: Individual)
- **Enumerated:** April 1, 2015
- **Primary specialty:** Pediatrics - Pediatric Endocrinology · taxonomy 2080P0205X
- **State license:** MD18498 (Rhode Island)
- **Sole proprietor:** No
## Practice location
- **Address:** 593 EDDY ST, Providence, RI 02903-4923
- **Phone:** (401) 444-6195
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Lifespan Physician Group, Inc. (NPI 1407116643, Providence, RI); Rhode Island Hospital (NPI 1861420333, Providence, RI) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2015
## Record status
- **NPPES last updated:** June 3, 2022
---
Source: [NPI Profile](https://npiprofile.com/npi/1770978363) · Data from the CMS NPPES public registry.