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

Richard Vandegraaf, MD

Individual provider Surgery Physician · NPI 1235624701

Richard Vandegraaf, MD is a General Surgery in San Angelo, Texas. Qualified in 2018, 8 years ago. Practices with Shannon Clinic, a 547-clinician group and accepts Medicare assignment. Licensed in Pennsylvania and Texas.

Years since qualifying
8
Licensed in
PA, TX
In the registry since
2018
Specialties on file
2
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

102 N Magdalen St
San Angelo, TX 76903-5400
Phone: (325) 481-2344
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X · Licence U7073 (TX)
Surgery Physician Taxonomy 208600000X · Licence MT216889 (PA)

Record details

NPI number1235624701
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 27, 2018
Last updated in NPPESOctober 25, 2023
Certification dateOctober 5, 2023

Medicare enrollment

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

Medicare specialtyGENERAL SURGERY
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Shannon Clinic — 547 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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