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

Michael Coyne Kavanaugh, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1215468814

Michael Coyne Kavanaugh, MD is a Diagnostic Radiology in Providence, Rhode Island. Graduated from Tulane University School of Medicine in 2017, 9 years ago. Practices with Rhode Island Medical Imaging Inc, a 107-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Massachusetts and Rhode Island.

Years since qualifying
9
Trained at
Tulane University School of Medicine
Licensed in
MA, RI
In the registry since
2017
Specialties on file
3
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
Phone: (401) 444-4000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 211 Park St, Attleboro, MA 02703-3143 — (508) 222-5200

Specialties & licences

Diagnostic Radiology Physician (primary) Taxonomy 2085R0202X · Licence MD17199 (RI)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X
Diagnostic Radiology Physician Taxonomy 2085R0202X · Licence 1013402 (MA)

Record details

NPI number1215468814
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedMarch 24, 2017
Last updated in NPPESApril 5, 2024
Certification dateApril 5, 2024
Mailing address125 Metro Center Blvd Ste 2000, Warwick, RI 02886-1785

Medicare enrollment

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

Medicare specialtyDIAGNOSTIC RADIOLOGY
Also practisesNUCLEAR MEDICINE
Medical schoolTULANE UNIVERSITY SCHOOL OF MEDICINE
Graduated 2017 (9 years in practice)
Group practice Rhode Island Medical Imaging Inc — 107 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Providence