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Rhode Island Hospital

Organization Active NPI Advanced Heart Failure and Transplant Cardiology Physician · Providence, RI

NPI 1962844795 · NPPES record last updated Mar 24, 2026

Key facts

NPI
1962844795
Entity type
Organization (NPI type 2)
Primary specialty
Advanced Heart Failure and Transplant Cardiology Physician 207RA0001X
Legal business name
RHODE ISLAND HOSPITAL
Practice address
593 Eddy St
George BLDG., 1St Floor
Providence, RI 02903-4923
Phone
(401) 606-1004
Fax
(401) 606-1153
NPI assigned
Jul 22, 2013
Reactivated
Aug 19, 2022
Organization subpart
Yes
Parent organization (as reported)
LIFESPAN CORPORATION

Authorized official

Name
Mr. Peter K Markell
Title
Cfo
Phone
(401) 444-7914

Other NPIs with the same Medicare PAC ID 11

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Practitioners 483

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 483

Medicare participation

Medicare fee-for-service enrollment
Enrolled in RI

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20140213000388 RI Part B Supplier - Clinic/Group Practice 8921900044 Receives reassigned benefits from 70 practitioners
Practice locations: Providence, RI

National Provider Directory

Part of
Lifespan Corporation

Locations

146 W River St
#11A
Providence, RI 02904
Phone (401) 606-8250

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist
Group: 193200000X MULTI-SPECIALTY GROUP		 103TC0700X
Advanced Heart Failure and Transplant Cardiology Physician
Group: 193200000X MULTI-SPECIALTY GROUP		 207RA0001X Yes
Cardiovascular Disease Physician
Group: 193400000X SINGLE SPECIALTY GROUP		 207RC0000X HOS RI
Cardiovascular Disease Physician
Group: 193200000X MULTI-SPECIALTY GROUP		 207RC0000X
Clinical Cardiac Electrophysiology Physician
Group: 193200000X MULTI-SPECIALTY GROUP		 207RC0001X
Interventional Cardiology Physician
Group: 193200000X MULTI-SPECIALTY GROUP		 207RI0011X
Physician Assistant
Group: 193200000X MULTI-SPECIALTY GROUP		 363A00000X
Medical Physician Assistant
Group: 193200000X MULTI-SPECIALTY GROUP		 363AM0700X
Surgical Physician Assistant
Group: 193200000X MULTI-SPECIALTY GROUP		 363AS0400X
Nurse Practitioner
Group: 193200000X MULTI-SPECIALTY GROUP		 363L00000X
Acute Care Nurse Practitioner
Group: 193200000X MULTI-SPECIALTY GROUP		 363LA2100X
Adult Health Nurse Practitioner
Group: 193200000X MULTI-SPECIALTY GROUP		 363LA2200X
Family Nurse Practitioner
Group: 193200000X MULTI-SPECIALTY GROUP		 363LF0000X

Addresses

Primary practice location

593 Eddy St
George BLDG., 1St Floor
Providence, RI 02903-4923

Mailing address

15 La Salle SQ
Providence, RI 02903-1814
Phone (401) 444-6905

Other practice location 1

146 W River St
Providence, RI 02904-2609
Phone (401) 606-1004

Other names

  • Cardiovascular Institute at RI Hospital Other name

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Mar 24, 2026.

{
    "created_epoch": "1374451200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1774310400000",
    "number": "1962844795",
    "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": "401-444-6905",
            "fax_number": "401-444-5462"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "593 EDDY ST",
            "address_2": "GEORGE BLDG., 1ST FLOOR",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029034923",
            "telephone_number": "401-606-1004",
            "fax_number": "401-606-1153"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "146 W River St",
            "address_purpose": "LOCATION",
            "city": "Providence",
            "state": "RI",
            "postal_code": "029042609",
            "country_code": "US",
            "telephone_number": "401-606-1004",
            "fax_number": "401-606-1153",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "RHODE ISLAND HOSPITAL",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "LIFESPAN CORPORATION",
        "enumeration_date": "2013-07-22",
        "last_updated": "2026-03-24",
        "certification_date": "2026-03-24",
        "deactivation_date": "2019-01-03",
        "reactivation_date": "2022-08-19",
        "status": "A",
        "authorized_official_last_name": "MARKELL",
        "authorized_official_first_name": "PETER",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "401-444-7914",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RA0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Advanced Heart Failure and Transplant Cardiology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "RI",
            "license": "HOS",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RC0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Clinical Cardiac Electrophysiology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant, Medical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant, Surgical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LA2100X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Acute Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Adult Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cardiovascular Institute at RI Hospital",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Cardiovascular Institute at RI Hospital",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Providence, RI

All providers in Providence, RI · Advanced Heart Failure and Transplant Cardiology Physician in Rhode Island

Sources for this page

Verify at the official NPI Registry.