Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Stefan Santo Balestra, PA-C

Individual provider Physician Assistant · NPI 1821738121

Stefan Santo Balestra, PA-C is a Physician Assistant in Providence, Rhode Island. Qualified in 2022, 4 years ago. Practices with Lifespan Physician Group Inc, a 1,125-clinician group, works from 4 locations and accepts Medicare assignment. Licensed in Rhode Island.

Years since qualifying
4
Licensed in
RI
In the registry since
2022
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

593 Eddy St
Providence, RI 02903-4923
Phone: (401) 444-4000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (3)

  • 25 Garwaine Dr, Lincoln, RI 02865-4905 — (401) 864-6700
  • 80 Dudley St, Providence, RI 02905 — (401) 444-4000
  • 120 Centerville Rd, Warwick, RI 02886-4336 — (401) 562-1017

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA01453 (RI)

Record details

NPI number1821738121
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedApril 1, 2022
Last updated in NPPESFebruary 13, 2026
Certification dateFebruary 13, 2026

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Lifespan Physician Group Inc — 1125 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Providence