Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

KATHERINE M MAHON MD
NPI 1689139909
Urology in Providence, RI

Active since February 01, 2019PECOS EnrolledAccepts Medicare Assignment
2 DUDLEY ST STE 175185, PROVIDENCE, RI 02905(401) 421-0710(401) 421-0796 Get Directions Write a Review

NPPES record last updated: October 13, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Oct 13, 2026, Mar 10, 2026, Jun 25, 2025 and 3 more (6 updates tracked since 2019).

About Katherine M Mahon Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KATHERINE M MAHON MD (NPI 1689139909) is an individual urology provider in Providence, Rhode Island, licensed in Rhode Island (MD20668) and active in the NPI registry since February 2019. She is enrolled in Medicare PECOS, is affiliated with Newport Hospital, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1689139909
Entity TypeIndividualFemale
Primary Taxonomy208800000X
Provider Legal NameKATHERINE M MAHONCredential: MD
Location Address2 DUDLEY ST STE 175185Providence, RI 02905-3236
Mailing Address15 La Salle SqProvidence, RI 02903-1814 · (401) 444-6779 · Fax (401) 444-6912
Fax(401) 421-0796
Sole ProprietorNo
Medical School CMSBaylor College Of MedicineGraduated 2019
Enumeration DateFebruary 1, 2019
Last NPPES UpdateOctober 13, 20266 updates tracked since enumeration
NPPES CertifiedOctober 13, 2026
✔ NPI 1689139909 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyUrologyAllopathic & Osteopathic Physicians
Taxonomy Code208800000X
License✔ Licensed in RI · MD20668
Definition
A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.
2 DUDLEY ST STE 175185, Providence, RI 02905

Other Names 1

Former Name (1)Katherine Rodriguez Md

Secondary Practice Locations 2

Location 12 Dudley St # Op1Providence, RI 02905-3236 · Phone (401) 444-5471 · Fax (401) 444-4557
Location 2195 Collyer St Ste 201Providence, RI 02904-1869 · Phone (401) 272-7799 · Fax (401) 453-9078

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Katherine M Mahon Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5395267165
PECOS Enrollment IDI20250708003055
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

2

Medicare enrollment records show Katherine Mahon reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

General Practice
593 EDDY ST
Providence, RI 02903
  • Reassigned Medicare billing, Rhode Island enrollment
  • 1,372 clinicians in this Medicare group
Radiation Oncology
825 N MAIN ST
Providence, RI 02904
  • Reassigned Medicare billing, Rhode Island enrollment
  • 38 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Hospital Affiliations CMS Care Compare 3

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Newport Hospital

Acute Care Hospitals · Newport, RI
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number410006
Location11 Friendship StreetNewport, RI 02840 · Newport County
Emergency services Birthing friendly

Rhode Island Hospital

Acute Care Hospitals · Providence, RI
3/5 CMS rating
OwnershipTribal
CMS Certification Number410007
Location593 Eddy StreetProvidence, RI 02903 · Providence County
Emergency services

The Miriam Hospital

Acute Care Hospitals · Providence, RI
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number410012
Location164 Summit AvenueProvidence, RI 02906 · Providence County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02905 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$134.17 typical visit price
range $58.57 – $177.03
Typical copayment $33.54 (range $14.64 – $44.25)
Most-billed visit code 99204
Established Patient
$72.93 typical visit price
range $18.92 – $144.38
Typical copayment $18.23 (range $4.73 – $36.09)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Urology
2 DUDLEY ST STE 175185
PROVIDENCE, RI 02905

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Katherine Mahon's NPI number?

The NPI number for Katherine Mahon is 1689139909. It was assigned to this individual provider in the NPPES registry on February 1, 2019. The provider is also known as Katherine Rodriguez MD.

Where is Katherine Mahon located?

Katherine Mahon practices at 2 Dudley St Ste 175185, Providence, RI 02905. The listed phone number is (401) 421-0710.

What is Katherine Mahon's specialty?

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

Is Katherine Mahon enrolled in Medicare?

Yes. Katherine Mahon is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Katherine Mahon's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Katherine Mahon reassigns Medicare benefits to 2 organizations: Lifespan Physician Group, Inc. (Providence, RI) and Brown Urology, Inc. (Providence, RI). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Katherine Mahon's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Katherine Mahon affiliated with any hospitals?

According to CMS data, Katherine Mahon is affiliated with Newport Hospital, Rhode Island Hospital and The Miriam Hospital.

When was this NPI record last updated?

The NPPES record for Katherine Mahon was last updated on October 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.