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

Kevin J Scully, MD

Individual provider Pediatric Endocrinology Physician · NPI 1770978363

Kevin J Scully, MD is a Pediatric Medicine in Providence, Rhode Island. Qualified in 2015, 11 years ago. Practices with Rhode Island Hospital, a 428-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Massachusetts and Rhode Island.

Years since qualifying
11
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
Providence, RI 02903-4923
Phone: (401) 444-6195
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 300 Longwood Ave, Boston, MA 02115-5724 — (617) 355-6000

Specialties & licences

Pediatric Endocrinology Physician (primary) Taxonomy 2080P0205X · Licence MD18498 (RI)
Pediatric Endocrinology Physician Taxonomy 2080P0205X · Licence 286562 (MA)

Record details

NPI number1770978363
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 1, 2015
Last updated in NPPESJune 3, 2022
Certification dateJune 3, 2022
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 specialtyPEDIATRIC MEDICINE
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice Rhode Island Hospital — 428 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Providence