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

Luka Machavariani

Individual provider Internal Medicine Physician · NPI 1437896206

Luka Machavariani is an Internal Medicine in Providence, Rhode Island. Qualified in 2019, 7 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
7
Licensed in
MA, RI
In the registry since
2022
Specialties on file
2
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Practice location Address checks out

593 Eddy St
Providence, RI 02903-4923
Phone: (401) 444-3985
Fax: (401) 444-3986
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence MD20461 (RI)
Internal Medicine Physician Taxonomy 207R00000X · Licence 293506 (MA)

Record details

NPI number1437896206
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMay 13, 2022
Last updated in NPPESApril 15, 2025
Certification dateApril 15, 2025
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 2019 (7 years in practice)
Group practice Lifespan Physician Group Inc — 1125 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Providence