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

Tiffany J Libby, MD

Individual provider Dermatology Physician · NPI 1912249418

Tiffany J Libby, MD is a Dermatology in Riverside, Rhode Island. Qualified in 2013, 13 years ago. Practices with Lifespan Physician Group Inc, a 1,125-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Rhode Island.

Years since qualifying
13
Licensed in
RI
In the registry since
2013
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

375 Wampanoag Trl Ste 401
Riverside, RI 02915-2237
Phone: (401) 444-7959
Fax: (401) 432-6997
Show map & directions

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

Additional practice locations (2)

  • 65 Village Square Dr Ste 201, South Kingstown, RI 02879-2569 — (401) 444-7959
  • 400 Bald Hill Rd, Warwick, RI 02886-1617 — (401) 444-7954

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X · Licence MD16408 (RI)

Record details

NPI number1912249418
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 22, 2013
Last updated in NPPESDecember 17, 2025
Certification dateDecember 17, 2025
Mailing address15 La Salle Sq, Providence, RI 02903-1814

Medicare enrollment

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

Medicare specialtyDERMATOLOGY
Medical schoolOTHER
Graduated 2013 (13 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

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