Active NPI
Mark Shannon, M.D.
- Internal Medicine Physician
- Barrington, RI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- MD7250
- Practice address
- 42 Lincoln Ave
Barrington, RI 02806-2136 - Phone
- (401) 246-0389
- NPI assigned
- Oct 25, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | MD7250 | RI | Primary |
Addresses
Primary practice location
42 Lincoln Ave
Barrington, RI 02806-2136
Mailing address
42 Lincoln Ave
Barrington, RI 02806-2136
Phone (401) 246-0389
Other practice location 1
2090 Wallum Lake Rd
Pascoag, RI 02859-1813
Phone (401) 567-5400
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD7250 | RI | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Prospect Chartercare Sjhsri, LLC | Current | Accepting new patients | |
| Prospect Chartercare Sjhsri, LLC | Internal Medicine | Current | Accepting new patients |
Locations
2 Wake Robin Rd
Lincoln, RI 02865
Phone (401) 333-1747
200 High Service Ave
#3
North Providence, RI 02904
Phone (401) 456-3649
200 High Service Ave
North Providence, RI 02904
Phone (401) 456-3000
21 Peace St
Providence, RI 02907
Phone (401) 456-3000
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.
-
- Internal Medicine Physician
- North Providence, RI
- NPI 1588089759
-
- General Acute Care Hospital
- North Providence, RI
- NPI 1871918870
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161734400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1781222400000",
"number": "1508941089",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "42 LINCOLN AVE",
"city": "BARRINGTON",
"state": "RI",
"postal_code": "028062136",
"telephone_number": "401-246-0389"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "42 LINCOLN AVE",
"city": "BARRINGTON",
"state": "RI",
"postal_code": "028062136",
"telephone_number": "401-246-0389"
}
],
"practiceLocations": [
{
"address_1": "2090 Wallum Lake Rd",
"address_purpose": "LOCATION",
"city": "Pascoag",
"state": "RI",
"postal_code": "028591813",
"country_code": "US",
"telephone_number": "401-567-5400",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SHANNON",
"first_name": "MARK",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-10-25",
"last_updated": "2026-06-12",
"certification_date": "2026-06-12",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "RI",
"license": "MD7250",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Barrington, RI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.