ROBERT NEAL SHANNON (M.D.) – Internal Medicine Physician, NPI 1992790315

ROBERT NEAL SHANNON (M.D.) is a healthcare provider. based in Grand rapids, Michigan. specializing in Internal Medicine Physician. They hold the professional credentials M.D.. They hold a License No. 4301042651 (MI). The NPI Number for ROBERT NEAL SHANNON (M.D.) is 1992790315

Main info

Male
47 Years Of Experience
Accepts Medicare Assignment
Name
ROBERT NEAL SHANNON (M.D.)
NPI
1992790315
Phone
(616) 486-6790
Address
100 MICHIGAN ST NE
Enumeration Date
12 September 2005
Last Update Date
1 July 2013

Doctor Profile

Medical School Name
WAYNE STATE UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
6162357272
Graduation Year
1979 (47 years ago)
PAC ID
0840262937
Group Practice PAC ID
6800707647
Professional Enrollment ID
I20040810000135
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience59
Completeness75
Years active:20State licenses:1Digital endpointsOther names

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Provider Addresses for ROBERT NEAL SHANNON (M.D.)

  • Corewell Health Butterworth Hospital, 100, Michigan Street Northeast, Grand Rapids, Kent County, Michigan, 49503, United States

    MC 845

    GRAND RAPIDS, MI 495032560

    Phone: (616) 486-6790

    Fax: (616) 486-6702

    Type: Mailing

  • 1227, West State Street, Belding, Ionia County, Michigan, 48809, United States

    BELDING, MI 488099246

    Phone: (616) 794-0940

    Fax: (616) 794-2650

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

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Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 49503)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 6800707647View full group profile
NameSpecialtyState
Nurse PractitionerWA
O P T O M E T R YMI
-MI
-MI
Nurse PractitionerMI
Physician AssistantMI
Physician AssistantMI
Mental Health CounselorMI
O B S T E T R I C S/ G Y N E C O L O G YMI
-MI

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Frequently asked questions

What identifier follows ROBERT NEAL SHANNON (M.D.) across health systems?
The NPI 1992790315 uniquely identifies ROBERT NEAL SHANNON (M.D.) in U.S. healthcare data.
Is ROBERT NEAL SHANNON (M.D.)'s NPI status active today?
Active status means ROBERT NEAL SHANNON (M.D.)'s NPI record is not deactivated in the public file.
What does the directory say ROBERT NEAL SHANNON (M.D.) does?
Insurance directories may phrase it differently, but here ROBERT NEAL SHANNON (M.D.) maps to Internal Medicine Physician. Clinical services aligned with this taxonomy classification.
What geographic area is tied to ROBERT NEAL SHANNON (M.D.)?
ROBERT NEAL SHANNON (M.D.) is associated with Grand Rapids, Michigan in the same public data insurers reference.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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