Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1689296600 Individual Practitioner Male Practitioner

Dr. Sean Richard Smith , MD

Internal Medicine • Providence, RI

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Sean Smith, MD is a certified Internal Medicine practicing in Providence, RI. With approximately 6 years of clinical experience since completing medical education in 2020, Dr. Smith delivers high-quality medical care to the local community at 164 SUMMIT AVE.

Dr. Smith is affiliated with Lifespan Physician Group Inc and accepts Medicare assignment.

Frequently performed procedures and clinical services include subsequent hospital care with moderate levelof medical decision making, if using time, at least, initial hospital care with straightforward or low-level medical decision making, if using time, at least, hospital discharge day management. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

164 Summit Ave

Providence, RI 029062853

Telephone 4017934489
Associated Practice Facility / Clinic
🏢 The Miriam Hospital Facility NPI 1487649430

Medicare Profile & Education

Medical School

Other

Graduation Year

2020

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine in Providence, RI

Experienced Practitioner (5-10 Yrs)
Practitioner Clinical Experience
6 Yrs -11.8 yrs vs City Avg
City Avg: 17.8 Yrs
State Avg: 27.9 Yrs
Regional Practice Density
523 Specialists

Practicing in Providence, RI (1079 Statewide)

Telehealth Adoption Rate
9.4% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
62.5% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Smith (6 Years) 6 Yrs
Providence Specialty Average (17.8 Years) 17.8 Yrs

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
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes
183 77 $226.00 $78.02
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes
53 53 $338.26 $129.11
99238 Hospital discharge day management, 30 minutes or less
49 49 $231.00 $80.49
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes
39 21 $300.00 $117.52
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes
21 21 $454.14 $171.58
99239 Hospital discharge day management, more than 30 minutes
11 11 $289.00 $113.47

Medical Specialties & State Licenses

CMS Verified: 2023-04-21
Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

State License RI MD19180

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Internal Medicine

NUCC Taxonomy Code: 207R00000X

State License RI LP04874

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Hospital & Practice Group Affiliations

Lifespan Physician Group Inc

164 Summit Ave, Providence, RI 029062853

Phone: 4017934102

Secondary Practice Locations

593 Eddy St

Providence, RI 029034923

Phone: 4017932930

Practice Associates & Co-Workers

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

34 Associated Practitioners
Dr. Karl Herman , MD

Internal Medicine

NPI 1003253063

Doctor of Medicine (M.D.)

Dr. Muhammad Baig , MD

Internal Medicine - Cardiovascular Disease

NPI 1003256587

Doctor of Medicine (M.D.)

Dr. Aaron Wheeler , MD

Internal Medicine

NPI 1104278472

Doctor of Medicine (M.D.)

Dr. Atin Jindal , MD

Internal Medicine

NPI 1124574918

Doctor of Medicine (M.D.)

Dr. Denise Fernandes , MD

Internal Medicine

NPI 1164837936

Doctor of Medicine (M.D.)

NPI 1235813379

Doctor of Medicine (M.D.), Doctor of Philosophy (Ph.D.)

Career & Practice History Timeline

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

8 Historical Events
📍
Updated Practice Location April 21, 2023

Registered at 164 SUMMIT AVE, PROVIDENCE, RI 029062853 (Tel: 4017934489)

📍
Updated Business Mailing Address April 21, 2023

Registered at 117 ELLENFIELD ST STE 101, PROVIDENCE, RI 029054541 (Tel: 4014446779)

NPI Profile Active May 13, 2020

NPI status registered as active in NPPES database

📍
Updated Practice Location May 13, 2020

Registered at 593 EDDY ST, PROVIDENCE, RI 029034923 (Tel: 4017932930)

📍
Updated Business Mailing Address May 13, 2020

Registered at 593 EDDY ST, PROVIDENCE, RI 029034923 (Tel: 4017932930)

👤
Provider Name / Credentials Updated May 13, 2020

Recorded as SEAN SMITH, MD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 13, 2020

Internal Medicine (License #LP04874 in RI)

🟢
Initial NPI Registration & Enumeration May 13, 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: 1689296600
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 13, 2020
Last Update: April 21, 2023
Sole Proprietor: Yes

Mailing Address

117 Ellenfield St Ste 101

Providence, RI 029054541

Phone: 4014446779

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.