Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mark R Shafer, MD

Individual provider Diagnostic Radiology Physician · NPI 1780642702

Mark R Shafer, MD is a Diagnostic Radiology in Providence, Rhode Island. Graduated from New York Medical College in 1996, 30 years ago. Practices with New York City Health and Hospitals Corporation, a 538-clinician group and accepts Medicare assignment. Licensed in Massachusetts.

Years since qualifying
30
Trained at
New York Medical College
Licensed in
MA
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

830 Chalkstone Ave
Providence, RI 02908-4734
Phone: (401) 273-7100
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Diagnostic Radiology Physician (primary) Taxonomy 2085R0202X · Licence 158271 (MA)

Record details

NPI number1780642702
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 1, 2006
Last updated in NPPESMay 4, 2017
Mailing address90 Adeline Rd, Newton, MA 02459-2705

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyDIAGNOSTIC RADIOLOGY
Also practisesOTOLARYNGOLOGY
Medical schoolNEW YORK MEDICAL COLLEGE
Graduated 1996 (30 years in practice)
Group practice New York City Health And Hospitals Corporation — 538 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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