Individual provider Active NPI

Gabrielle Sheridan Mock, MD

  • Pulmonary Disease Physician
  • Newport, RI
National Provider Identifier
1093244543
Registry record updated Jul 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
MD17087 Issued in RI
Practice address
11 Friendship St
Newport, RI 02840-2209
Phone
(401) 846-6400
NPI assigned
Jun 8, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Disease Physician 207RP1001X MD17087 RI Primary

Addresses

Primary practice location

11 Friendship St
Newport, RI 02840-2209

Mailing address

15 La Salle SQ
Providence, RI 02903-1814
Phone (401) 444-6779

Other practice location 1

375 Wampanoag Trl
Riverside, RI 02915-2232
Phone (401) 649-4080

Other practice location 2

164 Summit Ave
Providence, RI 02906-2853
Phone (401) 793-4501

Other practice location 3

146 W River St Ste 11A
Providence, RI 02904-2609
Phone (401) 606-8250

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in RI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200813002077 RI Practitioner - Internal Medicine 1759650153 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD17087RIMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The Miriam Hospital CurrentSince Oct 7, 2022 Accepting new patients
The Miriam Hospital CurrentSince Oct 7, 2022 Accepting new patients

Locations

11 Friendship St
Newport, RI 02840
Phone (401) 845-1110

164 Summit Ave
Providence, RI 02906
Phone (401) 793-2104

146 W River St
#11A
Providence, RI 02904
Phone (401) 606-8250

15 La Salle Sq
Providence, RI 02903

593 Eddy St
Providence, RI 02903

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1496880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782864000000",
    "number": "1093244543",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 LA SALLE SQ",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029031814",
            "telephone_number": "401-444-6779",
            "fax_number": "401-444-6912"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 FRIENDSHIP ST",
            "city": "NEWPORT",
            "state": "RI",
            "postal_code": "028402209",
            "telephone_number": "401-846-6400"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "375 Wampanoag Trl",
            "address_purpose": "LOCATION",
            "city": "Riverside",
            "state": "RI",
            "postal_code": "029152232",
            "country_code": "US",
            "telephone_number": "401-649-4080",
            "fax_number": "401-649-4081",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "164 Summit Ave",
            "address_purpose": "LOCATION",
            "city": "Providence",
            "state": "RI",
            "postal_code": "029062853",
            "country_code": "US",
            "telephone_number": "401-793-4501",
            "fax_number": "401-793-4511",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "146 W River St Ste 11A",
            "address_purpose": "LOCATION",
            "city": "Providence",
            "state": "RI",
            "postal_code": "029042609",
            "country_code": "US",
            "telephone_number": "401-606-8250",
            "fax_number": "401-606-1153",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOCK",
        "first_name": "GABRIELLE",
        "middle_name": "SHERIDAN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-08",
        "last_updated": "2026-07-01",
        "certification_date": "2026-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "RI",
            "license": "MD17087",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newport, RI

Sources for this page

Verify at the official NPI Registry.