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

Jared Anderson, MD

Individual provider Emergency Medicine Physician · NPI 1669852653

Jared Anderson, MD is an Emergency Medicine in Providence, Rhode Island. Graduated from Clvlnd Clinic Lerner College of Med of Case Wstn Rsv University in 2015, 11 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
11
Trained at
Clvlnd Clinic Lerner College of Med of Case Wstn Rsv University
Licensed in
MA, RI
In the registry since
2015
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

593 Eddy St Claverick 2
Providence, RI 02903-0290
Phone: (401) 519-0337
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence MD16561 (RI)
Emergency Medicine Physician Taxonomy 207P00000X · Licence 273543 (MA)

Record details

NPI number1669852653
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 4, 2015
Last updated in NPPESJuly 5, 2019
Mailing address125 Whipple St Ste 3, Providence, RI 02908-3258

Medicare enrollment

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

Medicare specialtyEMERGENCY MEDICINE
Medical schoolCLVLND CLINIC LERNER COLLEGE OF MED OF CASE WSTN RSV UNIVERSITY
Graduated 2015 (11 years in practice)
Group practice Lifespan Physician Group Inc — 1125 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Providence