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LIONEL G BERCOVITCH M.D.
NPI 1962473314
Dermatology in Providence, RI

Active since February 01, 2006PECOS EnrolledAccepts Medicare Assignment
593 EDDY STREET,, APC-10, PROVIDENCE, RI 02903(401) 444-7959(401) 444-7144 Get Directions Write a Review

NPPES record last updated: March 10, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Mar 10, 2026, Dec 17, 2025 (2 updates tracked since 2025).

About Lionel G Bercovitch M.d. NPPES

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

LIONEL G BERCOVITCH M.D. (NPI 1962473314) is an individual dermatology provider in Providence, Rhode Island, licensed in Rhode Island (MD05283) and active in the NPI registry since February 2006. He is enrolled in Medicare PECOS, is affiliated with Rhode Island Hospital, and is a graduate of Other (1969).

NPPES Registry Identity

NPI1962473314
Entity TypeIndividualMale
Primary Taxonomy207N00000X
Provider Legal NameLIONEL G BERCOVITCHCredential: M.D.
Location Address593 EDDY STREET,, APC-10Providence, RI 02903
Mailing Address15 La Salle SqProvidence, RI 02903-1814 · (401) 444-6779 · Fax (401) 444-6912
Phone(401) 444-7959
Fax(401) 444-7144
Sole ProprietorNo
Medical School CMSOtherGraduated 1969
Enumeration DateFebruary 1, 2006
Last NPPES UpdateMarch 10, 20262 updates tracked since enumeration
NPPES CertifiedMarch 10, 2026
✔ NPI 1962473314 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
License✔ Licensed in RI · MD05283
Definition
A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.
Also ListedDermatology · Clinical & Laboratory Dermatological ImmunologyTaxonomy 207NI0002X · License 36392 (MA)
593 EDDY STREET,, Providence, RI 02903
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Other Identifiers 1

Medicaid1962473314RI

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

Lionel G Bercovitch M.d. 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.

PECOS PAC ID2466435250
PECOS Enrollment IDI20080625000231
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

3

Medicare enrollment records show Lionel Bercovitch reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Brown Dermatology, Inc.
Same address
Dermatology
593 EDDY ST, APC-10
Providence, RI 02903
  • Reassigned Medicare billing, Rhode Island enrollment
  • 23 clinicians in this Medicare group
NPI 1730538026 (401) 444-7959
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
Rhode Island Hospital
Same address
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.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Rhode Island Hospital

Acute Care Hospitals · Providence, RI
3/5 CMS rating
OwnershipTribal
CMS Certification Number410007
Location593 Eddy StreetProvidence, RI 02903 · Providence County
Emergency services

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

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

DR. SHOSHANA LANDOW M.D.
Dermatology
593 EDDY STREET,, APC-10
PROVIDENCE, RI 02903
Providence County (401) 444-7959

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 Lionel Bercovitch's NPI number?

The NPI number for Lionel Bercovitch is 1962473314. It was assigned to this individual provider in the NPPES registry on February 1, 2006.

Where is Lionel Bercovitch located?

Lionel Bercovitch practices at 593 Eddy Street, Apc-10, Providence, RI 02903. The listed phone number is (401) 444-7959.

What is Lionel Bercovitch's specialty?

The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.

Is Lionel Bercovitch enrolled in Medicare?

Yes. Lionel Bercovitch 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 Lionel Bercovitch's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Lionel Bercovitch reassigns Medicare benefits to 3 organizations: Brown Dermatology, Inc. (Providence, RI), 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 Lionel Bercovitch's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Lionel Bercovitch affiliated with any hospitals?

According to CMS data, Lionel Bercovitch is affiliated with Rhode Island Hospital.

When was this NPI record last updated?

The NPPES record for Lionel Bercovitch was last updated on March 10, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.