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

Michael G Prucha, MD

Individual provider Emergency Medicine Physician · NPI 1578975306

Michael G Prucha, MD is an Emergency Medicine in Providence, Rhode Island. Graduated from University of Rochester School of Medicine and Dentistry in 2014, 12 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
12
Trained at
University of Rochester School of Medicine and Dentistry
Licensed in
RI
In the registry since
2014
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

593 Eddy St
Providence, RI 02903-4923
Phone: (401) 444-4000
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 101 Dudley St, Providence, RI 02905-2401 — (401) 274-1122

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence MD16225 (RI)

Record details

NPI number1578975306
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedMay 28, 2014
Last updated in NPPESJune 17, 2025
Certification dateJune 17, 2025
Mailing addressPo Box 9484, Providence, RI 02940-9484

Medicare enrollment

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

Medicare specialtyEMERGENCY MEDICINE
Medical schoolUNIVERSITY OF ROCHESTER SCHOOL OF MEDICINE AND DENTISTRY
Graduated 2014 (12 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