DR. ELIZABETH POLOTT MD MPH
NPI 1871121558
Psychiatry & Neurology - Neurology with Special Qualifications in Child Neurology in Providence, RI

Q: What is Elizabeth Polott's NPI number?

The NPI number for Elizabeth Polott is 1871121558. It was assigned to this individual provider in the NPPES registry on March 30, 2020.

Q: What is Elizabeth Polott's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology with Special Qualifications in Child Neurology, with taxonomy code 2084N0402X.

Q: When was this NPI record last updated?

The NPPES record for Elizabeth Polott was last updated on July 24, 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 March 30, 2020PECOS Enrolled

335R PRAIRIE AVE STE 1A, PROVIDENCE, RI 02905(401) 444-5685(401) 444-6115 Get Directions Write a Review

NPPES record last updated: July 24, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 24, 2026, Mar 30, 2020 (2 updates tracked since 2020).

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About Dr. Elizabeth Polott Md Mph NPPES

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

DR. ELIZABETH POLOTT MD MPH (NPI 1871121558) is an individual neurology with special qualifications in child neurology provider in Providence, Rhode Island, licensed in Rhode Island (MD21190) and active in the NPI registry since March 2020. She is enrolled in Medicare PECOS, maintains a secondary practice location in Lincoln, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1871121558

Entity TypeIndividualFemale

Primary Taxonomy2084N0402X

Provider Legal NameDR. ELIZABETH POLOTTCredential: MD MPH

Location Address335R PRAIRIE AVE STE 1AProvidence, RI 02905-2426

Mailing Address15 La Salle SqProvidence, RI 02903-1814 · (401) 444-6779 · Fax (401) 444-6912

Phone(401) 444-5685

Fax(401) 444-6115

Sole ProprietorNo

Medical School CMSOtherGraduated 2020

Enumeration DateMarch 30, 2020

Last NPPES UpdateJuly 24, 20262 updates tracked since enumeration

NPPES CertifiedJuly 24, 2026

✔ NPI 1871121558 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · Neurology with Special Qualifications in Child NeurologyAllopathic & Osteopathic Physicians

Taxonomy Code2084N0402X

Licenses✔ Licensed in RI · MD21190✔ Licensed in PA · MT228391

Definition

A Child Neurologist specializes in neurology with special skills in diagnosis and treatment of neurologic disorders of the neonatal period, infancy, early childhood, and adolescence.

335R PRAIRIE AVE STE 1A, Providence, RI 02905

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Secondary Practice Location 1

Location 11 Commerce St Ste 200Lincoln, RI 02865-1186 · Phone (401) 606-8052 · Fax (401) 606-8055

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Elizabeth Polott Md Mph is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID8820557754

PECOS Enrollment IDI20260831001519

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 Reassignments

Medicare enrollment records show Elizabeth Polott reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Lifespan Physician Group, Inc.

0.6 mi

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

Rhode Island Hospital

0.6 mi

Pediatrics

593 EDDY ST
Providence, RI 02903

Reassigned Medicare billing, Rhode Island enrollment
265 clinicians in this Medicare group

NPI 1861420333 (401) 444-6195

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 02905 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

$134.17 typical visit price

range $58.57 – $177.03

Typical copayment $33.54 (range $14.64 – $44.25)

Most-billed visit code 99204

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 12

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

JORDAN SONN GERVASIO

Nurse Practitioner (Family)