Matthew Sgouros, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

0116036260 Issued in VA

Practice address

4820 23Rd Ave S Ste 200
Fargo, ND 58104-9138

Phone

(701) 293-4112

NPI assigned

May 5, 2022

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in VA

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 1

Specialty

Internal Medicine

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Chestnut Physician Services LLCGroup PAC ID 8022508266, 12 clinicians

Oxbow Physician Services LLCGroup PAC ID 1850883513, 36 clinicians

Clyburn Physician Services LLCGroup PAC ID 9335631100, 20 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Johnston Memorial Hospital Hospital, Abingdon, VA, CCN 490053
• Smyth County Community Hospital Hospital, Marion, VA, CCN 490038

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 and National Provider Directory roles.

• Clyburn Physician Services LLC

  • Hospitalist Physician
  • Marion, VA
  • NPI 1740163179

  Single Specialty

  Medicare reassignment Care Compare group NPD
• Oxbow Physician Services LLC

  • Hospitalist Physician
  • Abingdon, VA
  • NPI 1942183991

  Single Specialty

  Medicare reassignment Care Compare group NPD
• Chestnut Physician Services LLC

  • Hospitalist Physician
  • Norton, VA
  • NPI 1023991445
  Medicare reassignment Care Compare group

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

• Johnston Memorial Hospital, Inc

  • General Acute Care Hospital
  • Abingdon, VA
  • NPI 1104812684
  Care Compare affiliation
• Smyth County Community Hospital

  • General Acute Care Hospital
  • Marion, VA
  • NPI 1073519377
  Care Compare affiliation
• Smyth County Community Hospital

  • General Acute Care Hospital
  • Marion, VA
  • NPI 1194104687
  Care Compare affiliation
• Smyth County Community Hospital

  • Durable Medical Equipment & Medical Supplies
  • Marion, VA
  • NPI 1750433389

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1651708800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785715200000",
    "number": "1215673090",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4820 23RD AVE S STE 200",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581049138",
            "telephone_number": "914-588-2404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4820 23RD AVE S STE 200",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581049138",
            "telephone_number": "701-293-4112"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "100 15th St NW",
            "address_purpose": "LOCATION",
            "city": "Norton",
            "state": "VA",
            "postal_code": "242731616",
            "country_code": "US",
            "telephone_number": "276-439-1000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SGOUROS",
        "first_name": "MATTHEW",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-05-05",
        "last_updated": "2026-08-03",
        "certification_date": "2026-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "VA",
            "license": "0116036260",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kyrie Marie Severson, APRN, CNP
• Stephanie L Severson, PA-C
• Jennifer Seviour
• Sharon Seyfried, APRN CRNA
• James Seymour, CSW/CSAC
• Kristi Ann Shae
• Khurram Shafique
• Rushabh N Shah, MD
• Eram Shahira, MD
• Arif M Shaik, MD

• Internal Medicine Physician in Fargo, ND
• Providers in Fargo, ND by specialty
• Internal Medicine Physician in North Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2026; 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.