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

Individual provider Emergency Medicine Physician · NPI 1023039146

Otto Liebmann, MD is an Emergency Medicine in Providence, Rhode Island. Graduated from New York University School of Medicine in 2002, 24 years ago. Practices with Lifespan Physician Group Inc, a 1,125-clinician group and accepts Medicare assignment. Licensed in Rhode Island.

Years since qualifying
24
Trained at
New York University School of Medicine
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

593 Eddy St Claverick 2
Providence, RI 02903-4923
Phone: (401) 519-1604
Fax: (401) 272-0538
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence MD12526 (RI)

Record details

NPI number1023039146
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 22, 2006
Last updated in NPPESAugust 31, 2020
Certification dateAugust 31, 2020
Mailing address125 Whipple St Ste 3, Providence, RI 02908-3258

Medicare enrollment

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

Medicare specialtyEMERGENCY MEDICINE
Medical schoolNEW YORK UNIVERSITY SCHOOL OF MEDICINE
Graduated 2002 (24 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