SHANNON RENEE MENEZES MD
NPI 1902508302
Internal Medicine in Gaithersburg, MD

Q: What is Shannon Menezes's NPI number?

The NPI number for Shannon Menezes is 1902508302. It was assigned to this individual provider in the NPPES registry on March 20, 2023.

Q: What is Shannon Menezes's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Shannon Menezes was last updated on June 4, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months 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.

Active since March 20, 2023PECOS Enrolled

655 WATKINS MILL RD, GAITHERSBURG, MD 20879(240) 632-4021 Get Directions Write a Review

NPPES record last updated: June 4, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 4, 2025, Jun 25, 2024, Mar 20, 2023 (3 updates tracked since 2023).

On this page

About Shannon Renee Menezes Md NPPES

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

SHANNON RENEE MENEZES MD (NPI 1902508302) is an individual internal medicine provider in Gaithersburg, Maryland, licensed in Maryland (D0103414) and active in the NPI registry since March 2023. She is enrolled in Medicare PECOS and is a graduate of George Washington University School Of Medicine (2023).

NPPES Registry Identity

NPI1902508302

Entity TypeIndividualFemale

Primary Taxonomy207R00000X

Provider Legal NameSHANNON RENEE MENEZESCredential: MD

Location Address655 WATKINS MILL RDGaithersburg, MD 20879-3301

Mailing Address655 Watkins Mill RdGaithersburg, MD 20879-3301

Phone(240) 632-4021

Sole ProprietorNo

Medical School CMSGeorge Washington University School Of MedicineGraduated 2023

Enumeration DateMarch 20, 2023

Last NPPES UpdateJune 4, 20253 updates tracked since enumeration

NPPES CertifiedJune 3, 2025

✔ NPI 1902508302 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

Licenses✔ Licensed in MD · D0103414✔ Licensed in VA · 0116038238

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.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

655 WATKINS MILL RD, Gaithersburg, MD 20879

Open in Google Maps ↗

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

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

PECOS PAC ID6507338407

PECOS Enrollment IDI20260611001981

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 20879 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

$147.85 typical visit price

range $65.18 – $194.86

Typical copayment $36.96 (range $16.29 – $48.71)

Most-billed visit code 99204

Established Patient

$113.72 typical visit price

range $21.40 – $158.88

Typical copayment $28.43 (range $5.35 – $39.72)

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 20

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

DR. ESTHER SHINYOUNG SONG M.D.

Pediatrics