Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Sean Richard Smith Jr., MD

Individual provider Internal Medicine Physician · NPI 1689296600

Dr. Sean Richard Smith Jr., MD is an Internal Medicine in Providence, Rhode Island. Qualified in 2020, 6 years ago. Practices with Lifespan Physician Group Inc, a 1,125-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Rhode Island.

Years since qualifying
6
Licensed in
RI
In the registry since
2020
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 02906-2853
Phone: (401) 793-4489
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 593 Eddy St, Providence, RI 02903-4923 — (401) 793-2930

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence MD19180 (RI)
Internal Medicine Physician Taxonomy 207R00000X · Licence LP04874 (RI)

Record details

NPI number1689296600
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedMay 13, 2020
Last updated in NPPESApril 21, 2023
Certification dateApril 21, 2023

Medicare enrollment

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

Medicare specialtyINTERNAL MEDICINE
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Lifespan Physician Group Inc — 1125 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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