Individual provider Active NPI

Katherine M Mahon, MD

  • Urology Physician
  • Providence, RI
National Provider Identifier
1689139909
Registry record updated Mar 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
MD20668 Issued in RI
Practice address
2 Dudley St Ste 175185
Providence, RI 02905-3236
Phone
(401) 421-0710
Fax
(401) 421-0796
NPI assigned
Feb 1, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X MD20668 RI Primary

Addresses

Primary practice location

2 Dudley St Ste 175185
Providence, RI 02905-3236

Mailing address

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

Other practice location 1

195 Collyer St Ste 201
Providence, RI 02904-1869
Phone (401) 272-7799

Other names 1

  • Katherine Rodriguez Former name

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
I20250708003055 RI Practitioner - Urology 5395267165 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
Baylor College of Medicine, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Brown Urology, Inc.Group PAC ID 7810254513, 32 clinicians
Lifespan Physician Group IncGroup PAC ID 2567455082, 1,151 clinicians

Practice addresses (Care Compare)

195 Collyer St
Suite 201
Providence, RI 02904-1869
Phone (401) 272-7799

2 Dudley St
Providence, RI 02905-3236
Phone (401) 272-7799

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Prostate resection1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Brown Urology, Inc. CurrentSince Sep 1, 2025 Accepting new patients
Lifespan Physician Group, Inc. CurrentSince Jan 1, 2026 Accepting new patients
Lifespan Physician Group, Inc. CurrentSince Jan 1, 2026 Accepting new patients
Brown Urology, Inc. Urology Current Accepting new patients
Brown Urology, Inc. Urology Past Accepting new patients
Brown Neurology PastSince Jun 29, 2025 Accepting new patients

Locations

450 Veterans Memorial Pkwy
Ste 14
East Providence, RI 02914
Phone (401) 435-8486

185A High Service Ave
North Providence, RI 02904
Phone (401) 354-6050

195 Collyer St
Ste 104
Providence, RI 02904
Phone (401) 276-2026

110 Elm St
Fl 2
Providence, RI 02903

593 Eddy St
Providence, RI 02903

2 Dudley St
Ste 175185
Providence, RI 02905
Phone (401) 421-0710

195 Collyer St
Ste 201
Providence, RI 02904
Phone (401) 421-0710

827 N Main St
Ste 4
Providence, RI 02904
Phone (401) 276-2060

2 Dudley St
Ste 175
Providence, RI 02905
Phone (401) 421-0710

15 La Salle Sq
Providence, RI 02903

Organizations & group practices 6

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.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1548979200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773100800000",
    "number": "1689139909",
    "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": "2 DUDLEY ST STE 175185",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029053236",
            "telephone_number": "401-421-0710",
            "fax_number": "401-421-0796"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "195 Collyer St Ste 201",
            "address_purpose": "LOCATION",
            "city": "Providence",
            "state": "RI",
            "postal_code": "029041869",
            "country_code": "US",
            "telephone_number": "401-272-7799",
            "fax_number": "401-453-9078",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MAHON",
        "first_name": "KATHERINE",
        "middle_name": "M",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-02-01",
        "last_updated": "2026-03-10",
        "certification_date": "2026-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "RI",
            "license": "MD20668",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATHERINE",
            "last_name": "RODRIGUEZ",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Providence, RI

Sources for this page

Verify at the official NPI Registry.