Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1811519697 Individual Practitioner Female Practitioner

Dr. Susannah Boulet , DO

Emergency Medicine • Providence, RI

Professional Overview & Biography Verified Profile Summary

Dr. Susannah Boulet, DO is a registered healthcare professional specializing in Emergency Medicine in Providence, RI. Practice services are available at 593 EDDY ST. under active NPI credentials.

Frequently performed procedures and clinical services include emergency department visit for life threatening or functioning severity, emergency department visit with moderate level of medical decision making, critical care, first. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

593 Eddy St.
Claverick 2

Providence, RI 02903

Telephone 4014444000
Associated Practice Facility / Clinic
🏢 Brown Emergency Medicine Facility NPI 1336960483

Specialty Benchmarks & Practice Insights

Comparative analytics for Emergency Medicine in Providence, RI

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 15.2 Yrs
State Avg: 26.1 Yrs
Regional Practice Density
246 Specialists

Practicing in Providence, RI (427 Statewide)

Telehealth Adoption Rate
0.8% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
89.2% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99285 Emergency department visit for life threatening or functioning severity
125 121 $1528.75 $169.31
99284 Emergency department visit with moderate level of medical decision making
18 18 $994.60 $117.84
99291 Critical care, first 30-74 minutes
17 17 $2029.89 $204.40
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only
16 15 $80.83 $7.69

Medical Specialties & State Licenses

CMS Verified: 2023-06-07
Emergency Medicine Primary Specialty

NUCC Taxonomy Code: 207P00000X

State License RI DO01238

An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

Emergency Medicine

NUCC Taxonomy Code: 207P00000X

State License PA OT020113

An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

Secondary Practice Locations

232 W 25th St

Erie, PA 165440002

Phone: 8144525000

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Kelsey Heck , PA

Physician Assistant

NPI 1003503459

Physician Assistant

Bret Caulfield

Physician Assistant

NPI 1003512476
Dr. Gregory Lockhart , MD

Pediatrics - Pediatric Emergency Medicine

NPI 1003855339

Doctor of Medicine (M.D.)

Dr. Daniel Shanin , MD

Emergency Medicine

NPI 1013322486

Doctor of Medicine (M.D.)

Christopher Cureton , NP

Nurse Practitioner - Family

NPI 1013416353

Nurse Practitioner

Shannon Whittemore , NP

Nurse Practitioner

NPI 1013443878

Nurse Practitioner

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events
📍
Updated Practice Location June 20, 2023

Registered at 593 EDDY ST., CLAVERICK 2, PROVIDENCE, RI 02903 (Tel: 4014444000)

📍
Updated Business Mailing Address June 20, 2023

Registered at 125 WHIPPLE ST STE 3, PROVIDENCE, RI 029083258

NPI Profile Active May 14, 2020

NPI status registered as active in NPPES database

📍
Updated Practice Location May 14, 2020

Registered at 232 W 25TH ST, ERIE, PA 165440002 (Tel: 8144525000)

📍
Updated Business Mailing Address May 14, 2020

Registered at 311 W 24TH ST FL 4, ERIE, PA 165022665

👤
Provider Name / Credentials Updated May 14, 2020

Recorded as SUSANNAH BOULET, DO

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 14, 2020

Emergency Medicine (License #OT020113 in PA)

🟢
Initial NPI Registration & Enumeration May 14, 2020

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1811519697
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 14, 2020
Last Update: June 20, 2023
Sole Proprietor: No

Mailing Address

125 Whipple St Ste 3

Providence, RI 029083258

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.