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

Dr. Atin Jindal, MD

Individual provider Internal Medicine Physician · NPI 1124574918

Dr. Atin Jindal, MD is an Internal Medicine in Providence, Rhode Island. Qualified in 2016, 10 years ago. Practices with Lifespan Physician Group Inc, a 1,125-clinician group, works from 4 locations and accepts Medicare assignment. Licensed in Ohio and Rhode Island.

Years since qualifying
10
Licensed in
OH, RI
In the registry since
2016
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

164 Summit Ave
Providence, RI 02906
Phone: (401) 793-4489
Fax: (401) 793-4047
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (3)

  • 2500 Metrohealth Drive, Cleveland, OH 44109-1998 — (216) 778-4494
  • 101 Dudley St, Providence, RI 02905-2401 — (404) 453-7950
  • 455 Toll Gate Rd, Warwick, RI 02886-2759 — (401) 737-7010

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence MD16576 (RI)
Internal Medicine Physician Taxonomy 207R00000X · Licence 57.028668 (OH)

Record details

NPI number1124574918
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedAugust 31, 2016
Last updated in NPPESAugust 10, 2023
Certification dateAugust 10, 2023
Mailing address117 Ellenfield St Ste 101, Providence, RI 02905-4541

Medicare enrollment

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

Medicare specialtyINTERNAL MEDICINE
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Lifespan Physician Group Inc — 1125 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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