Oluwaseun Shogbesan, MD

Primary specialty

Gastroenterology PhysicianTaxonomy code 207RG0100X

License

2023-00865 Issued in NC

Practice address

1901 S Hawthorne Rd Ste 310
Winston Salem, NC 27103-3915

Phone

(336) 448-2427

Fax

(336) 765-2869

NPI assigned

May 29, 2014

Last updated

Jun 20, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Enrolled in GA, NC2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 2

Specialty

GastroenterologyAlso: Internal Medicine

Education

Other, 2006

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Gastroenterology Associates of the Piedmont PAGroup PAC ID 4587568860, 24 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Novant Health Forsyth Medical Center Hospital, Winston-Salem, NC, CCN 340014

Merit-based Incentive Payment System (MIPS)

Final score

90.25 of 100Reported as group

Quality

87.75

Promoting interoperability

100

Improvement activities

40

Cost

79.73

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Gastroenterology Associates of the Piedmont, P.a.

  • Endoscopy Clinic/Center
  • Winston Salem, NC
  • NPI 1679687586

  Gastroenterology

  Medicare reassignment Care Compare group NPD
• Gastroenterology Associates of the Piedmont, P.a.

  • Gastroenterology Physician
  • Winston Salem, NC
  • NPI 1336585561
  NPD
• Tower Health Medical Group

  dba Internal Medicine - Tower Health Medical Group

  • Internal Medicine Physician
  • Birdsboro, PA
  • NPI 1609291350
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Forsyth Memorial Hospital, Inc.

  dba Novant Health Forsyth Medical Center

  • General Acute Care Hospital
  • Winston Salem, NC
  • NPI 1447200233
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1401321600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687219200000",
    "number": "1023420718",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1901 S HAWTHORNE RD STE 310",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271033915",
            "telephone_number": "336-448-2427"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1901 S HAWTHORNE RD STE 310",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271033915",
            "telephone_number": "336-448-2427",
            "fax_number": "336-765-2869"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6th Avenue & Spruce Street",
            "address_purpose": "LOCATION",
            "city": "West Reading",
            "state": "PA",
            "postal_code": "19611",
            "country_code": "US",
            "telephone_number": "484-628-8640",
            "fax_number": "484-628-9003",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHOGBESAN",
        "first_name": "OLUWASEUN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-05-29",
        "last_updated": "2023-06-20",
        "certification_date": "2023-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "GA",
            "license": "83321",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MD462198",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MT207173",
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "NC",
            "license": "2023-00865",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Moore Benjamin Shoemaker, M.D.
• Virginia Willis Shoesmith
• Joseph Lemar Shoffner, PA-C
• Leanne Jessup Shoffner, NP
• Wendy Draper Shoffner, RPH
• Shore Home Care Agency, Inc.
• Shore Home Care Transportation
• Lauren Hobson Shore, DMD
• Madisun Hope Shore
• Renea Wall Shore, CRNA

• Gastroenterology Physician in Winston Salem, NC
• Providers in Winston Salem, NC by specialty
• Gastroenterology Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.