NPPES file of Aug 9, 2026

Shannon Simmons

Gastroenterology Physician · Providence, RI

Shannon Simmons is a gastroenterology physician with a practice address in Providence, Rhode Island, and NPI 1619210630, issued on Mar 27, 2013. Check the license (Rhode Island MD16784, as entered in NPPES) on the Rhode Island Board of Medical Licensure and Discipline; the Medicare figures below come from public CMS files.

Record from CMS NPPES, file of Aug 9, 2026 · Medicare files 2024 · method · Verify with CMS →

NPPES recordNPPES file of Aug 9, 2026
1619210630
Name
Shannon Simmons
Primary taxonomy
Gastroenterology Physician 207RG0100X
License number
MD16784 RI
Self-reported in NPPES; status is on the state search
Practice location
593 Eddy St, Providence, RI 02903
Phone
(401) 444-5031
Enumerated
Mar 27, 2013
Record last updated
Dec 28, 2022
Medicare enrollment
Enrolled (PECOS I20190823001293); accepts Medicare assignment
Medical or professional school
Warren Alpert Medical School Of Brown University, 2013
Entity
Type 1 · individual
Public record from CMS NPPES (open it on the CMS NPI Registry). Enrollment, assignment, school and telehealth: CMS Doctors and Clinicians file, Aug 2026. A record is not a license: verify it with the state board.
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Also registered at 593 Eddy St

A shared address usually means a shared clinic or building; it does not show who employs whom.

  1. Farah AbazaStudent in an Organized Health Care Education/Training Program1598437477
  2. Nilofar Abdul ShukurPhysician Assistant1336010529
  3. Hael Abdulrazeq, MDNeurological Surgery Physician1659934289
  4. James Abernathy, MDAnesthesiology Physician1942257217
  5. Karen Abi Chebl, MDStudent in an Organized Health Care Education/Training Program1255179552
  6. Georges Abi Roustom, MDAnesthesiology Physician1548871908

Verify Shannon Simmons in five checks

  1. 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
  2. 2LicenseActive license and public ordersRhode Island Board of Medical Licensure and Discipline
    Search for license MD16784
    Check the board
  3. 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
  4. 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
  5. 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Open the Rhode Island license search

PlainDoctor does not match the HHS-OIG exclusion list to individual records: most entries carry no NPI. Search the OIG exclusion list by name.

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70% fewer Medicare Part D claims than the average gastroenterology physician in 2024

247 Medicare Part D claims for 85 beneficiaries, against an average of 811 among the 16,445 providers of this specialty who prescribed in Part D. Brand-name drugs were 20% of claims.

  1. Shannon Simmons247
  2. Specialty average811

Most prescribed

  1. Omeprazole80 claims
  2. Famotidine33 claims
  3. Linzess12 claims
  4. Pantoprazole Sodium12 claims
  5. Xifaxan12 claims

Source: CMS Medicare Part D Prescribers by Provider and Drug, 2024 (data.cms.gov). Part D covers prescriptions for Medicare patients only; drugs with fewer than 11 claims are not published.

Bills Medicare through one group practice

  1. Lifespan Physician Group IncEast Providence, RI

Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).

Shannon Simmons among 96 gastroenterology physician records in Rhode Island

Shannon Simmons is one of 96 gastroenterology physician records with a practice address in Rhode Island. 82% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2013, is newer than 76% of them.

  • NPI issued2013 · 76% of these records are older, 21% newer
  • In a Medicare fileYes · 82% of these records are
  • In the CMS Doctors and Clinicians fileYes · 69% of these records are
  • Graduated2013 · median 1997 among the 66 with a school on file
  • Record last updated2022 · 51% of these records were not updated in five years or more

Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 207RG0100X and a Rhode Island practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).

Gastroenterology Physician providers in Rhode Island

There are 96 gastroenterology physician records in Rhode Island.

The 8 gastroenterology physician records with the nearest ZIP codes

  1. Bibek Saha, MDProvidence, RI 029031225776099
  2. Martin Ventoso, MDProvidence, RI 029031497374607
  3. Alyn Adrain, M.D.Providence, RI 029041225027766
  4. Evan Cohen, M.D.Providence, RI 029041538158068
  5. Neil Greenspan, M.D.Providence, RI 029041023007556
  6. Brett Kalmowitz, MDProvidence, RI 029041700817269
  7. Philip McAndrew, M.D.Providence, RI 029041376614966
  8. Amanda Pressman, M.D.Providence, RI 029041124059696

Common questions

What is Shannon Simmons's NPI number?

Shannon Simmons's National Provider Identifier (NPI) is 1619210630, issued on Mar 27, 2013. An NPI identifies a provider in billing; it is not a license.

Where is Shannon Simmons located?

The NPPES record lists a practice address at 593 Eddy St, Providence, RI, 02903. Phone: (401) 444-5031. Providers update this record themselves, so call before visiting.

How can I verify Shannon Simmons's license?

NPPES lists Rhode Island license number MD16784, as entered by the provider. Search the Rhode Island Board of Medical Licensure and Discipline at https://healthri.mylicense.com/Verification/. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.

How much does Shannon Simmons prescribe under Medicare Part D?

In 2024, Shannon Simmons had 247 Medicare Part D claims for 85 beneficiaries; the average among gastroenterology physician prescribers was 811. Part D covers Medicare prescriptions only.

Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.

Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.