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

Michael S Siclari, MD

Individual provider Emergency Medicine Physician · NPI 1033226444

Michael S Siclari, MD is an Emergency Medicine in Pawtucket, Rhode Island. Graduated from Geisel School of Medicine at Dartmouth in 1985, 41 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
41
Trained at
Geisel School of Medicine at Dartmouth
Licensed in
RI
In the registry since
2006
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

111 Brewster St
Pawtucket, RI 02860-4400
Phone: (401) 729-2419
Fax: (401) 729-2517
Show map & directions

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

Additional practice locations (1)

  • 593 Eddy Street, Providence, RI 02903 — (401) 444-4000

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence MD06991 (RI)

Record details

NPI number1033226444
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedAugust 23, 2006
Last updated in NPPESJune 6, 2024
Certification dateMay 30, 2024
Mailing address111 Brewster Street, Wood Bldg #516, Pawtucket, RI 02860-4400

Medicare enrollment

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

Medicare specialtyEMERGENCY MEDICINE
Medical schoolGEISEL SCHOOL OF MEDICINE AT DARTMOUTH
Graduated 1985 (41 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 Pawtucket