SUSANNAH BOULET DO
NPI 1811519697
Emergency Medicine in Providence, RI

Active since May 14, 2020PECOS Enrolled
593 EDDY ST., CLAVERICK 2, PROVIDENCE, RI 02903(401) 444-4000 Get Directions Write a Review

NPPES record last updated: June 20, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jun 20, 2023, May 14, 2020 (2 updates tracked since 2020).

About Susannah Boulet Do NPPES

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

SUSANNAH BOULET DO (NPI 1811519697) is an individual emergency medicine provider in Providence, Rhode Island, licensed in Rhode Island (DO01238) and active in the NPI registry since May 2020. She is enrolled in Medicare PECOS and maintains a secondary practice location in Erie.

NPPES Registry Identity

NPI1811519697
Entity TypeIndividualFemale
Primary Taxonomy207P00000X
Provider Legal NameSUSANNAH BOULETCredential: DO
Location Address593 EDDY ST., CLAVERICK 2Providence, RI 02903
Mailing Address125 Whipple St Ste 3Providence, RI 02908-3258
Sole ProprietorNo
Enumeration DateMay 14, 2020
Last NPPES UpdateJune 20, 20232 updates tracked since enumeration
NPPES CertifiedJune 7, 2023
NPI 1811519697 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
Licenses Licensed in RI · DO01238 Licensed in PA · OT020113
Definition

An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

593 EDDY ST., Providence, RI 02903

Secondary Practice Location 1

Location 1232 W 25th StErie, PA 16544-0002 · Phone (814) 452-5000

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Susannah Boulet Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
125 services121 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
18 services18 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
17 services17 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
16 services15 patients

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
$103.10 typical visit price
range $18.92 – $144.38
Typical copayment $25.77 (range $4.73 – $36.09)
Most-billed visit code 99214
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.

Social Worker (Clinical)
593 EDDY ST.
PROVIDENCE, RI 02903
Physician Assistant
593 EDDY ST., CLAVERICK 2
PROVIDENCE, RI 02903
Emergency Medicine
593 EDDY ST., CLAVERICK 2
PROVIDENCE, RI 02903
Emergency Medicine
593 EDDY ST., CLAVERICK 2
PROVIDENCE, RI 02903
Physician Assistant
593 EDDY ST., CLAVERICK 2
PROVIDENCE, RI 02903
Emergency Medicine
593 EDDY ST., CLAVERICK 2
PROVIDENCE, RI 02903
Emergency Medicine
593 EDDY ST., CLAVERICK 2
PROVIDENCE, RI 02903
Emergency Medicine
593 EDDY ST., CLAVERICK 2
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 Susannah Boulet's NPI number?

The NPI number for Susannah Boulet is 1811519697. It was assigned to this individual provider in the NPPES registry on May 14, 2020.

Where is Susannah Boulet located?

Susannah Boulet practices at 593 Eddy St. Claverick 2, Providence, RI 02903. The listed phone number is (401) 444-4000.

What is Susannah Boulet's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Susannah Boulet enrolled in Medicare?

Yes. Susannah Boulet is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Susannah Boulet was last updated on June 20, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.