Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Amy Marie Maselli, MD

Individual provider Plastic and Reconstructive Surgery Physician · NPI 1740547405

Amy Marie Maselli, MD is a General Surgery in Providence, Rhode Island. Graduated from Georgetown University School of Medicine in 2012, 14 years ago. Practices with Lifespan Physician Group Inc, a 1,125-clinician group and accepts Medicare assignment. Licensed in Massachusetts and Rhode Island.

Years since qualifying
14
Trained at
Georgetown University School of Medicine
Licensed in
MA, RI
In the registry since
2012
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

235 Plain St Ste 501
Providence, RI 02905-3243
Phone: (401) 444-5495
Fax: (401) 444-5716
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Plastic and Reconstructive Surgery Physician (primary) Taxonomy 2086S0122X · Licence MD17856 (RI)
Plastic and Reconstructive Surgery Physician Taxonomy 2086S0122X · Licence 270232 (MA)

Record details

NPI number1740547405
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 19, 2012
Last updated in NPPESJuly 13, 2021
Certification dateJuly 13, 2021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyGENERAL SURGERY
Medical schoolGEORGETOWN UNIVERSITY SCHOOL OF MEDICINE
Graduated 2012 (14 years in practice)
Group practice Lifespan Physician Group Inc — 1125 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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