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EDWARD PAUL SHEEHAN M.D.
NPI 1982799599
Psychiatry & Neurology - Psychiatry in Providence, RI

Active since October 03, 2006PECOS EnrolledAccepts Medicare Assignment
345 BLACKSTONE BLVD, PROVIDENCE, RI 02906(401) 455-6200(401) 455-6293 Get Directions Write a Review

NPPES record last updated: June 20, 2008. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Edward Paul Sheehan M.d. NPPES

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

EDWARD PAUL SHEEHAN M.D. (NPI 1982799599) is an individual psychiatry provider in Providence, Rhode Island, licensed in Rhode Island (MD12514) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS, is affiliated with Women & Infants Hospital Of Rhode Island, and is a graduate of University Of Connecticut School Of Medicine (2002).

NPPES Registry Identity

NPI1982799599
Entity TypeIndividualMale
Primary Taxonomy2084P0800X
Provider Legal NameEDWARD PAUL SHEEHANCredential: M.D.
Location Address345 BLACKSTONE BLVDProvidence, RI 02906-4800
Mailing Address345 Blackstone BlvdProvidence, RI 02906-4800 · (401) 455-6200 · Fax (401) 455-6293
Phone(401) 455-6200
Fax(401) 455-6293
Sole ProprietorNo
Medical School CMSUniversity Of Connecticut School Of MedicineGraduated 2002
Enumeration DateOctober 3, 2006
Last NPPES UpdateJune 20, 2008
✔ NPI 1982799599 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
Licenses✔ Licensed in RI · MD12514✔ Licensed in NH · RT1125
Definition
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
Also ListedPsychiatry & Neurology · Addiction PsychiatryTaxonomy 2084P0802X · License RT1125 (NH), MD12514 (RI)
345 BLACKSTONE BLVD, Providence, RI 02906
Open in Google Maps ↗

Other Identifiers 6

Other33355-7RI · Blue Cross
Other1104801349RI · Butler Hospital Npi
Other007059853RI · Medicare Id-type Unspecified
MedicaidES68441RI
Other1093831646Butler Hospital Professional Billing Office Npi
Other414713RI · Blue Chip

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Harvard Pilgrim Health Care.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

Edward Paul Sheehan 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 ID1254413644
PECOS Enrollment IDI20080123000935
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 Reassignment

Medicare enrollment records show Edward Sheehan reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Affinity Physicians LLC
2.8 mi
Anesthesiology
101 DUDLEY STREET, WIH DEPT OF ANESTHESIOLOGY
Providence, RI 02905
  • Reassigned Medicare billing, Rhode Island enrollment
  • 984 clinicians in this Medicare group
NPI 1053038471 (401) 274-1122

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 3

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
43 services26 patients
Psychiatric diagnostic evaluation with medical services 90792
A psychiatric diagnostic evaluation with medical services is a comprehensive assessment. It includes a detailed examination of your mental health and physical wellbeing, as well as your personal and family history. This evaluation aids in creating an effective treatment plan.
27 services27 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
22 services20 patients

Hospital Affiliations CMS Care Compare

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

Women & Infants Hospital Of Rhode Island

Acute Care Hospitals · Providence, RI
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number410010
Location101 Dudley StreetProvidence, RI 02905 · Providence County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02906 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
$177.03 typical visit price
range $58.57 – $177.03
Typical copayment $44.25 (range $14.64 – $44.25)
Most-billed visit code 99205
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 20

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

KEVIN E. BAILL MD & ASSOCIATES, LLC
Clinic/Center
345 BLACKSTONE BLVD
PROVIDENCE, RI 02906
Providence County (917) 447-2138
SHARATH PONNAPPA PUTTICHANDA
Psychiatry & Neurology (Psychiatry)
345 BLACKSTONE BLVD
PROVIDENCE, RI 02906
Providence County (401) 455-6346
MS. JASMINE APPLEBERRY M.S.W., L.I.C.S.W.
Social Worker (Clinical)
345 BLACKSTONE BLVD
PROVIDENCE, RI 02906
Providence County (401) 225-2044
BRITTANY CATHERINE DAWSON FNP-BC
Nurse Practitioner (Family)
345 BLACKSTONE BLVD, MEMORY AND AGING PROGRAM
PROVIDENCE, RI 02906
Providence County (401) 455-6403
CYNTHIA CHEN YANG MD
Psychiatry & Neurology (Psychiatry)
345 BLACKSTONE BLVD
PROVIDENCE, RI 02906
Providence County (401) 455-6373
DR. MICAH BENJAMIN DUGGINS-WARF MD
Psychiatry & Neurology (Psychiatry)
345 BLACKSTONE BLVD
PROVIDENCE, RI 02906
Providence County (716) 803-9249
KATHARINE ANNE PHILLIPS MD
Psychiatry & Neurology (Psychiatry)
345 BLACKSTONE BLVD
PROVIDENCE, RI 02906
Providence County (401) 455-6200
LISA BRAFF SHEA MD
Psychiatry & Neurology (Psychiatry)
345 BLACKSTONE BLVD
PROVIDENCE, RI 02906
Providence County (401) 455-6200

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 Edward Sheehan's NPI number?

The NPI number for Edward Sheehan is 1982799599. It was assigned to this individual provider in the NPPES registry on October 3, 2006.

Where is Edward Sheehan located?

Edward Sheehan practices at 345 Blackstone Blvd, Providence, RI 02906. The listed phone number is (401) 455-6200.

What is Edward Sheehan's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is Edward Sheehan enrolled in Medicare?

Yes. Edward Sheehan 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 organization bills Medicare for Edward Sheehan's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Edward Sheehan reassigns Medicare benefits to Affinity Physicians LLC (Providence, RI). The 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 Edward Sheehan's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Edward Sheehan accept?

Health plans from Harvard Pilgrim Health Care list Edward Sheehan 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 Edward Sheehan affiliated with any hospitals?

According to CMS data, Edward Sheehan is affiliated with Women & Infants Hospital Of Rhode Island.

When was this NPI record last updated?

The NPPES record for Edward Sheehan was last updated on June 20, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.