Shyamal R Asher, MD
Individual provider Active NPI Anesthesiology Physician · Providence, RI
NPI 1174887541 · NPPES record last updated Mar 16, 2023
Key facts
- NPI
- 1174887541
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Anesthesiology Physician 207L00000X
- License
- MD16763 (RI)
- Practice address
- 593 Eddy St
Providence, RI 02903 - Phone
- (401) 444-5172
- Fax
- (401) 444-5090
- NPI assigned
- Jun 29, 2012
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 8
Hospital & facility affiliations 5
Medicare Care Compare profile
- Specialty
- Anesthesiology
- Education
- Warren Alpert Medical School of Brown University, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Lifespan Physician Group Inc
Practice addresses (Care Compare)
593 Eddy St
Providence, RI 02903-4923
Phone (401) 444-6966
Hospital & facility affiliations
- Rhode Island Hospital
- The Miriam Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in MA, RI
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160729001320 | MA | Practitioner - Anesthesiology | 7517260144 | Reassigns benefits to 1 organization |
| I20190813002006 | RI | Practitioner - Anesthesiology | 7517260144 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 265828 | MA | MD | Anesthesiology Physician |
| MD16763 | RI | MD | Anesthesiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lifespan Corporation | Current | Accepting new patients | |
| Brigham & Womens Physicians Organization Inc | Anesthesiology | Current |
Accepting new patients |
| Lifespan Physician Group, Inc. | Anesthesiology | Current |
Accepting new patients |
| Lifespan Physician Group, Inc. | Current |
Accepting new patients | |
| Affinity Physicians LLC. | Anesthesiology | Past | Accepting new patients |
Locations
75 Francis St
Boston, MA 02115
15 Francis St
Boston, MA 02115
Phone (617) 732-6770
117 Ellenfield St
Ste 101
Providence, RI 02905
Phone (401) 444-4318
593 Eddy St
Providence, RI 02903
101 Dudley St
Providence, RI 02905
Phone (401) 453-7950
455 Toll Gate Rd
Warwick, RI 02886
Phone (401) 737-7000
Interoperability endpoints
- sasher188390@brownhealth.medalliesdirect.net
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 265828 | MA | |
| Anesthesiology Physician | 207L00000X | MD16763 | RI | Yes |
Addresses
Primary practice location
593 Eddy St
Providence, RI 02903
Mailing address
117 Ellenfield St Ste 101
Providence, RI 02905-4541
Phone (401) 444-6779
Other practice location 1
101 Dudley St
Providence, RI 02905-2401
Phone (401) 453-7950
Other practice location 2
75 Francis St
Boston, MA 02115-6110
Phone (617) 732-5500
Other practice location 3
5841 S Maryland Ave
Chicago, IL 60637-1443
Phone (773) 702-1000
Other providers in Providence, RI
- Wael F. Asaad
- Jean-Claude M Asaker
- Ernest Asamoah
- Evelyn Asante
- Nicole Frances Asante
- David W Ashley
- Aisha Germaine Ashraf
- Emmanuel Asiedu
- Anum Asif
- Mariepet Tabanas Ask
All providers in Providence, RI · Anesthesiology Physician in Rhode Island
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 16, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.