Shannon Clinic
NPI 1770587149 · Family Medicine Physician · San Angelo, TX
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Shannon Clinic is a Family Medicine Physician organization in San Angelo, TX (NPI 1770587149).
Provider details
- NPI number
- 1770587149
- Entity type
- Organization
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Ricardo Villarreal, Coo(325) 747-2200
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Allergy & Immunology Physician207K00000X
Allopathic & Osteopathic Physicians
- Allergy Physician207KA0200X
Allopathic & Osteopathic Physicians
- Anesthesiology Physician207L00000X
Allopathic & Osteopathic Physicians
- Dermatology Physician207N00000X
Allopathic & Osteopathic Physicians
- Ophthalmology Physician207W00000X
Allopathic & Osteopathic Physicians
- Orthopaedic Surgery Physician207X00000X
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
21 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
Registry dates
- Enumerated
- 2005-06-13
- Last updated
- 2025-07-14
- Certified
- 2025-07-14
Frequently asked questions
- What is Shannon Clinic's NPI number?
- Shannon Clinic's National Provider Identifier (NPI) is 1770587149, 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 Family Medicine Physician (Allopathic & Osteopathic Physicians).
- 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, Coo. 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 (1770587149) is active in the NPPES registry as of the last update on 2025-07-14.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.