DR. ELIZABETH LANGE (MD) – Pediatrics Physician, NPI 1518954098

DR. ELIZABETH LANGE (MD) is a healthcare provider. based in Providence, Rhode Island. specializing in Pediatrics Physician. They hold the professional credentials MD. They hold a License No. MD08787 (RI). The NPI Number for DR. ELIZABETH LANGE (MD) is 1518954098

Main info

Female
34 Years Of Experience
Accepts Medicare Assignment
Name
DR. ELIZABETH LANGE (MD)
NPI
1518954098
Phone
(401) 421-4000
Address
10 DAVOL SQ
Enumeration Date
30 September 2005
Last Update Date
9 April 2024

Doctor Profile

Medical School Name
PENNSYLVANIA STATE UNIVERSITY COLLEGE OF MEDICINE
Secondary Phone
4014216481
Graduation Year
1992 (34 years ago)
PAC ID
5698713329
Group Practice PAC ID
8426961004
Professional Enrollment ID
I20050421001451

Contacts

Secure Messaging
elange220878@direct.lifespan.org
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness85
Years active:20State licenses:1Other namesUpdated within 12 months

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Provider Addresses for DR. ELIZABETH LANGE (MD)

  • Davol Square, Downtown, Providence, Providence County, Rhode Island, 02903, United States

    SUITE 400

    PROVIDENCE, RI 029034754

    Phone: (401) 421-4000

    Fax: (401) 272-1456

    Type: Mailing

  • 900, Warren Avenue, East Providence, Providence County, Rhode Island, 02914, United States

    SUITE 200

    EAST PROVIDENCE, RI 029141430

    Phone: (401) 421-6481

    Fax: (401) 751-8734

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2005-04-21

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20050421001451IPediatric MedicineRITBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 02903)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 8426961004View full group profile

Reviews

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Frequently asked questions

Can I verify DR. ELIZABETH LANGE (MD) with an NPI only?
You can start verification with NPI 1518954098 for DR. ELIZABETH LANGE (MD), then check state licensing separately.
Is DR. ELIZABETH LANGE (MD) listed as active for patients and plans?
The listing shows DR. ELIZABETH LANGE (MD) as active in the NPI system.
What is DR. ELIZABETH LANGE (MD)'s primary classification?
Pediatrics Physician is the headline specialty for DR. ELIZABETH LANGE (MD) here. Clinical services aligned with this taxonomy classification.
What area does DR. ELIZABETH LANGE (MD) serve?
DR. ELIZABETH LANGE (MD)'s listing highlights Providence, Rhode Island; more addresses can appear in NPPES.
Is the information about DR. ELIZABETH LANGE (MD) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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