Active NPI
Kristopher R Davignon, MD
- Anesthesiology Physician
- Providence, RI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- MD11791
- Practice address
- 593 Eddy Street
Davol 129
Providence, RI 02903-4923 - Phone
- (401) 444-4933
- Fax
- (401) 444-5090
- NPI assigned
- Apr 26, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 216258 | MA | |
| Anesthesiology Physician | 207L00000X | MD11791 | RI | Primary |
Addresses
Primary practice location
593 Eddy Street
Davol 129
Providence, RI 02903-4923
Mailing address
15 La Salle SQ
Providence, RI 02903-1814
Phone (401) 444-6779
Other practice location 1
101 Dudley St
Providence, RI 02905-2401
Phone (401) 453-7950
Other practice location 2
795 Middle St
Fall River, MA 02721-1733
Phone (508) 996-3991
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| KD53733 | Medicaid | RI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA, RI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040804001094 | MA | Practitioner - Anesthesiology | 6204807068 | Reassigns benefits to 1 organization |
| I20051012001001 | RI | Practitioner - Anesthesiology | 6204807068 | Reassigns benefits to 2 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Anesthesiology
- Education
- University of Vermont College of Medicine, 1999
- Medicare assignment
- May accept Medicare assignment
- Group practices
- Lifespan Physician Group IncLifespan Physician Group of Massachusetts Inc
Practice addresses (Care Compare)
593 Eddy St
Providence, RI 02903-4923
Phone (401) 444-6966
795 Middle St
Fall River, MA 02721-1733
Phone (508) 674-5600
Hospital & facility affiliations
- The Miriam Hospital
- Newport Hospital
- Rhode Island Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 216258 | MA | MD | Pediatric Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Affinity Physicians LLC. | Anesthesiology | Current | Accepting new patients |
| Affinity Physicians LLC | Anesthesiology | Current | Accepting new patients |
| Lifespan Physician Group, Inc. | Past | Accepting new patients |
Locations
795 Middle St
Fall River, MA 02721
Phone (508) 235-5046
593 Eddy St
#129
Providence, RI 02903
Phone (401) 444-4933
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
Organizations & group practices 7
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Family Medicine Physician
- Taunton, MA
- NPI 1235957713
MA
-
- Psychiatry Physician
- Providence, RI
- NPI 1548506793
-
- Urgent Care Clinic/Center
- Warwick, RI
- NPI 1285191163
-
- General Practice Physician
- Providence, RI
- NPI 1407116643
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146009600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1779062400000",
"number": "1386601201",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15 LA SALLE SQ",
"city": "PROVIDENCE",
"state": "RI",
"postal_code": "029031814",
"telephone_number": "401-444-6779",
"fax_number": "401-444-6912"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "593 EDDY STREET",
"address_2": "DAVOL 129",
"city": "PROVIDENCE",
"state": "RI",
"postal_code": "029034923",
"telephone_number": "401-444-4933",
"fax_number": "401-444-5090"
}
],
"practiceLocations": [
{
"address_1": "101 Dudley St",
"address_purpose": "LOCATION",
"city": "Providence",
"state": "RI",
"postal_code": "029052401",
"country_code": "US",
"telephone_number": "401-453-7950",
"fax_number": "401-453-7658",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "795 Middle St",
"address_purpose": "LOCATION",
"city": "Fall River",
"state": "MA",
"postal_code": "027211733",
"country_code": "US",
"telephone_number": "508-996-3991",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DAVIGNON",
"first_name": "KRISTOPHER",
"middle_name": "R",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-04-26",
"last_updated": "2026-05-18",
"certification_date": "2026-05-18",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "MA",
"license": "216258",
"primary": false
},
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "RI",
"license": "MD11791",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "KD53733",
"state": "RI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Providence, RI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.