Shannon Clinic
NPI 1124038633 · Durable Medical Equipment & Medical Supplies · San Angelo, TX
Enrolled with Medicare as Dme Supplier - Multi-Specialty - Physician · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Shannon Clinic is a Durable Medical Equipment & Medical Supplies organization in San Angelo, TX (NPI 1124038633).
Provider details
- NPI number
- 1124038633
- Entity type
- Organization
- Primary specialty
- Durable Medical Equipment & Medical SuppliesSuppliers
- Organization subpart
- No
- Authorized official
- Ricardo Villarreal, Cao(325) 481-8248
Specialties & taxonomies
Suppliers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Dmepos
- Doing business as
- Dmepos
Registry dates
- Enumerated
- 2006-08-08
- Last updated
- 2020-01-21
- Certified
- 2020-01-21
Frequently asked questions
- What is Shannon Clinic's NPI number?
- Shannon Clinic's National Provider Identifier (NPI) is 1124038633, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Shannon Clinic?
- Shannon Clinic is classified in the NPPES registry as Durable Medical Equipment & Medical Supplies (Suppliers).
- Where is Shannon Clinic located?
- Shannon Clinic's practice location on file with NPPES is 120 E Beauregard Ave, San Angelo, TX 76903-5919.
- What is Shannon Clinic's phone number?
- The practice phone number listed in the NPPES registry for Shannon Clinic is (325) 658-1511.
- Does Shannon Clinic accept Medicare?
- Shannon Clinic is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Shannon Clinic?
- The authorized official listed on Shannon Clinic's NPPES record is Ricardo Villarreal, Cao. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Shannon Clinic's NPI active?
- Yes — Shannon Clinic's NPI (1124038633) is active in the NPPES registry as of the last update on 2020-01-21.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.