Individual provider Active NPI

Viktor N Goncharuk, M.D.

  • Anatomic Pathology Physician
  • Greensboro, NC
National Provider Identifier
1396728291
Registry record updated Mar 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anatomic Pathology PhysicianTaxonomy code 207ZP0101X
License
2026-00030 Issued in NC
Practice address
2006 New Garden Rd
Greensboro, NC 27410-2566
Phone
(336) 609-6240
NPI assigned
Nov 23, 2005
Last updated
Mar 27, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatopathology (Pathology) Physician 207ZD0900X 2026-00030 NC
Anatomic Pathology Physician 207ZP0101X 2026-00030 NC Primary

Addresses

Primary practice location

2006 New Garden Rd
Greensboro, NC 27410-2566

Mailing address

PO Box 23329
New York, NY 10087-3329

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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

Enrollment IDStateProvider typePAC IDDetails
I20260211000747 NC Practitioner - Pathology 5890764427 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pathology
Education
Other, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ball Dermpath PAGroup PAC ID 9537304423, 5 clinicians

Practice addresses (Care Compare)

2006 New Garden Rd
Suite 106
Greensboro, NC 27410-2567
Phone (336) 609-6240

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
2026-00030NCMDDermatopathology (Pathology) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pinkus Dermatopathology Laboratory, PC CurrentSince Jul 1, 2004 Accepting new patients
Ball Dermpath, PA Dermatopathology CurrentSince Feb 2, 2026 Accepting new patients
Consultants in Laboratory Medicine of Greater Toledo CurrentSince Jan 24, 2017 Accepting new patients

Locations

16344 Collections Cntr Dr
Chicago, IL 60693

818 Riverside Ave
Adrian, MI 49221
Phone (517) 263-0711

32669 Warren Rd
Ste 10
Garden City, MI 48135
Phone (734) 762-0500

1314 N Macomb St
Monroe, MI 48162
Phone (734) 242-6872

718 N Macomb St
Monroe, MI 48162
Phone (734) 212-3097

2006 New Garden Rd
Greensboro, NC 27410
Phone (336) 609-6240

2006 New Garden Rd
Ste 106
Greensboro, NC 27410
Phone (336) 609-6240

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1132704000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774569600000",
    "number": "1396728291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 23329",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100873329"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2006 NEW GARDEN RD",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274102566",
            "telephone_number": "336-609-6240"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONCHARUK",
        "first_name": "VIKTOR",
        "middle_name": "N",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-23",
        "last_updated": "2026-03-27",
        "certification_date": "2026-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZD0900X",
            "taxonomy_group": "",
            "desc": "Pathology, Dermatopathology",
            "state": "NC",
            "license": "2026-00030",
            "primary": false
        },
        {
            "code": "207ZP0101X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology",
            "state": "NC",
            "license": "2026-00030",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greensboro, NC

Sources for this page

Verify at the official NPI Registry.