Daniel K Shogren, DO

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

011868 Issued in MI

Practice address

1530 Pine Grove Ave
Ste 7
Port Huron, MI 48060

Phone

(810) 985-0029

Fax

(810) 985-0032

NPI assigned

Aug 12, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MI

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

Diagnostic Radiology

Education

R Franklin University of Med & Sci/Chicago Medical School, 1992

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

X-Ray Associates of Port Huron P CGroup PAC ID 5395789531, 28 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• McLaren Port Huron Hospital, Port Huron, MI, CCN 230216
• Ascension River District Hospital Hospital, East China, MI, CCN 230241
• McKenzie Health System Hospital, Sandusky, MI, CCN 231314
• Lake Huron Medical Center Hospital, Port Huron, MI, CCN 230031

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100Reported as group

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy, Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: dshogren1151202@direct.hfhs.org

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.

• X-Ray Associates of Port Huron P C

  • Diagnostic Radiology Physician
  • Port Huron, MI
  • NPI 1801967583
  Medicare reassignment Care Compare group NPD Authorized official
• Marwan Shuayto MD PC

  • Neurology Physician
  • Port Huron, MI
  • NPI 1578819850

  Diagnostic Radiology

  Medicare reassignment NPD

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

• Henry Ford Health River District Hospital

  • General Acute Care Hospital
  • East China, MI
  • NPI 1619941333
  Care Compare affiliation
• McKenzie Memorial Hospital

  • Critical Access Hospital
  • Sandusky, MI
  • NPI 1497750608
  Care Compare affiliation
• McKenzie Memorial Hospital

  • Family Medicine Physician
  • Sandusky, MI
  • NPI 1831443761

  Hospital

  Care Compare affiliation
• McLaren Port Huron

  • General Acute Care Hospital
  • Port Huron, MI
  • NPI 1982685384
  Care Compare affiliation
• Prime Healthcare Services-Port Huron LLC

  • General Acute Care Hospital
  • Port Huron, MI
  • NPI 1306227764
  Care Compare affiliation

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

{
    "created_epoch": "1155340800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1629080486",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1530 PINE GROVE AVE",
            "address_2": "STE 7",
            "city": "PORT HURON",
            "state": "MI",
            "postal_code": "48060",
            "telephone_number": "810-985-0029",
            "fax_number": "810-985-0032"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1530 PINE GROVE AVE",
            "address_2": "STE 7",
            "city": "PORT HURON",
            "state": "MI",
            "postal_code": "48060",
            "telephone_number": "810-985-0029",
            "fax_number": "810-985-0032"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHOGREN",
        "first_name": "DANIEL",
        "middle_name": "K",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MI",
            "license": "011868",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3485362",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Derek Larry Sheridan
• Chelsea Sherman, LMSW
• Jane M Sherwood
• Edward Harrison Shifflett I
• Jodi Shinn
• Monica Rae Short, LMSW
• Marwan Ibrahim Shuayto, M.D.
• Sara Sides
• Dawn Marie Silk
• Haylea Simmons, LLMSW

• Diagnostic Radiology Physician in Port Huron, MI
• Providers in Port Huron, MI by specialty
• Diagnostic Radiology Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.