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

Patrick B. Sullivan, MD

Individual provider Emergency Medicine Physician · NPI 1447570288

Patrick B. Sullivan, MD is an Emergency Medicine in Providence, Rhode Island. Graduated from Tufts University School of Medicine in 2010, 16 years ago. Practices with Lifespan Physician Group Inc, a 1,125-clinician group and works from 3 locations. Licensed in Massachusetts and Rhode Island.

Years since qualifying
16
Trained at
Tufts University School of Medicine
Licensed in
MA, RI
In the registry since
2010
Specialties on file
2
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

164 Summit Ave
Providence, RI 02906-2894
Phone: (401) 793-3000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 88 Washington St, Taunton, MA 02780-2499 — (508) 828-7000
  • 20 Powel Ave, Newport, RI 02840 — (401) 846-6400

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence 282126 (MA)
Emergency Medicine Physician Taxonomy 207P00000X · Licence MD14523 (RI)

Record details

NPI number1447570288
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 3, 2010
Last updated in NPPESJuly 2, 2026
Certification dateJuly 2, 2026
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 schoolTUFTS UNIVERSITY SCHOOL OF MEDICINE
Graduated 2010 (16 years in practice)
Group practice Lifespan Physician Group Inc — 1125 clinicians
Accepts Medicare assignment Not indicated
Practice locations3 on file with Medicare

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