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DR. EVAN SHANNON MD
NPI 1811378177
Internal Medicine in Santa Monica, CA

Active since June 12, 2015PECOS Enrolled
2211 MICHIGAN AVE, SANTA MONICA, CA 90404(424) 259-8085 Get Directions Write a Review

NPPES record last updated: December 28, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Evan Shannon Md NPPES

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

DR. EVAN SHANNON MD (NPI 1811378177) is an individual internal medicine provider in Santa Monica, California, licensed in California (A174141) and active in the NPI registry since June 2015. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1811378177
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. EVAN SHANNONCredential: MD
Location Address2211 MICHIGAN AVESanta Monica, CA 90404-3905
Mailing Address5767 W Century Blvd Ste 400Los Angeles, CA 90045-5631
Phone(424) 259-8085
Sole ProprietorNo
Enumeration DateJune 12, 2015
Last NPPES UpdateDecember 28, 2023
NPPES CertifiedDecember 28, 2023
✔ NPI 1811378177 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in CA · A174141
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
2211 MICHIGAN AVE, Santa Monica, CA 90404
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Evan Shannon Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Reassignment

Medicare enrollment records show Evan Shannon reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Regents University Of California
Same address
Multi-Specialty
2211 MICHIGAN AVE
Santa Monica, CA 90404
  • Reassigned Medicare billing, California enrollment
  • 57 clinicians in this Medicare group
NPI 1316725963 (424) 259-6338

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 90404 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
$142.39 typical visit price
range $62.96 – $187.60
Typical copayment $35.59 (range $15.74 – $46.90)
Most-billed visit code 99204
Established Patient
$109.96 typical visit price
range $20.84 – $153.61
Typical copayment $27.49 (range $5.21 – $38.40)
Most-billed visit code 99214
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 5

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

REGENTS UNIVERSITY OF CALIFORNIA
Clinic/Center (Radiology, Mobile)
2211 MICHIGAN AVE
SANTA MONICA, CA 90404
Los Angeles County (310) 562-1871
REGENTS UNIVERSITY OF CALIFORNIA
Clinic/Center (Multi-Specialty)
2211 MICHIGAN AVE
SANTA MONICA, CA 90404
Los Angeles County (424) 259-6338
REGENTS UNIVERSITY OF CALIFORNIA
Clinic/Center (Radiology, Mobile Mammography)
2211 MICHIGAN AVE
SANTA MONICA, CA 90404
Los Angeles County (310) 586-9000
JAMIE SOO MOI ENG MD
Emergency Medicine
2211 MICHIGAN AVE
SANTA MONICA, CA 90404
Los Angeles County (424) 259-8085
MR. ANTHONY MICHAEL MIHALO LCSW
Social Worker (Clinical)
2211 MICHIGAN AVE
SANTA MONICA, CA 90404
Los Angeles County (424) 259-8085

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 Evan Shannon's NPI number?

The NPI number for Evan Shannon is 1811378177. It was assigned to this individual provider in the NPPES registry on June 12, 2015.

Where is Evan Shannon located?

Evan Shannon practices at 2211 Michigan Ave, Santa Monica, CA 90404. The listed phone number is (424) 259-8085.

What is Evan Shannon's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Evan Shannon enrolled in Medicare?

Yes. Evan Shannon is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Evan Shannon's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Evan Shannon reassigns Medicare benefits to Regents University Of California (Santa Monica, CA). The 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 Evan Shannon's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Evan Shannon was last updated on December 28, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.