Individual provider Active NPI

Mark Edward Shogry, MD

  • Neuroradiology Physician
  • Greensboro, NC
National Provider Identifier
1740238740
Registry record updated Oct 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neuroradiology PhysicianTaxonomy code 2085N0700X
License
38848 Issued in NC
Practice address
1331 N Elm St Ste 200
Greensboro, NC 27401-6304
Phone
(336) 274-6682
Fax
(336) 274-8097
NPI assigned
May 4, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 2, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 38848 NC
Neuroradiology Physician 2085N0700X 38848 NC Primary

Addresses

Primary practice location

1331 N Elm St Ste 200
Greensboro, NC 27401-6304

Mailing address

PO Box 85378
Chicago, IL 60689-5378
Phone (336) 274-6682

Other identifiers 7

IdentifierTypeStateIssuer
18335OtherNCPARTNERS
1740238740MedicaidVA
7596BOtherNCBCBS
160800OtherNCUNITED HEALTHCARE
300065901OtherNCRAILROAD MEDICARE
70519OtherNCMEDCOST
897596BMedicaidNC

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
I20040612000038 NC Practitioner - Diagnostic Radiology 5698758399 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Vanderbilt University School of Medicine, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Diagnostic Radiology and Imaging LLCGroup PAC ID 4183517097, 87 clinicians

Practice addresses (Care Compare)

315 W Wendover Ave
Greensboro, NC 27408-8401
Phone (336) 433-5000

4030 Oaks Professional Pkwy
Burlington, NC 27215-8491
Phone (336) 433-5000

6199 Lake Brandt Rd
Greensboro, NC 27455-8234
Phone (800) 582-8655

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
38848NCMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Southeastern Orthopaedic Specialists, PA CurrentSince Jan 1, 2016 Accepting new patients
The Moses H. Cone Memorial Hospital Operating Corporation CurrentSince Jan 20, 2025 Accepting new patients
Diagnostic Radiology & Imaging LLC Diagnostic Radiology CurrentSince Jun 25, 2004 Accepting new patients
The Moses H. Cone Memorial Hospital Operating Corporation CurrentSince Jan 20, 2025 Accepting new patients
Imrad of Virginia PLLC Diagnostic Radiology CurrentSince Oct 1, 2020 Accepting new patients
The Moses H Cone Memorial Hospital Operating Corporation CurrentSince Jun 1, 2009 Accepting new patients
The Moses H Cone Memorial Hospital Operating Corporation CurrentSince Jun 1, 2009 Accepting new patients
The Moses H. Cone Memorial Hospital Operating Corporation CurrentSince Jan 20, 2025 Accepting new patients
Greensboro Radiology, PA Diagnostic Radiology CurrentSince Jul 1, 1991 Accepting new patients
The Moses H Cone Memorial Hospital Operating Corporation CurrentSince Jan 20, 2025 Accepting new patients
Pinnacle Health Services of North Carolina, LLC Diagnostic Radiology CurrentSince Oct 7, 2020 Accepting new patients
Pinnacle Health Services of North Carolina LLC Diagnostic Radiology CurrentSince Oct 6, 2020 Accepting new patients

Locations

1357 Kapiolani Blvd
Honolulu, HI 96814
Phone (614) 221-7773

1585 Kapiolani Blvd
Ste 1720
Honolulu, HI 96814

1357 Kapiolani Blvd
Unit 48
Honolulu, HI 96814

364 White Oak St
Asheboro, NC 27203
Phone (336) 625-5151

1131 N Church St
Greensboro, NC 27401
Phone (336) 358-5100

1331 N Elm St
Ste 200
Greensboro, NC 27401
Phone (336) 274-4285

1002 N Church St
Ste 401
Greensboro, NC 27401
Phone (336) 271-4999

315 W Wendover Ave
Greensboro, NC 27408
Phone (336) 273-0530

1200 N Elm St
Greensboro, NC 27401
Phone (336) 574-7000

1130 N Church St
Ste 100
Greensboro, NC 27401
Phone (336) 375-2300

301 E Wendover Ave
Ste 100
Greensboro, NC 27401
Phone (336) 370-1100

1030 Medical Park Ave
New Bern, NC 28562
Phone (252) 637-5480

2300 Opitz Blvd
Woodbridge, VA 22191
Phone (703) 523-1000

Interoperability endpoints

  • Direct secure messaging: aspecht@yourcarecommunity.org

Organizations & group practices 13

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.

View all 13

Hospital & facility affiliations 2

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

NPI Registry JSON

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

{
    "created_epoch": "1146700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759363200000",
    "number": "1740238740",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 85378",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606895378",
            "telephone_number": "336-274-6682",
            "fax_number": "336-274-8097"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1331 N ELM ST STE 200",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274016304",
            "telephone_number": "336-274-6682",
            "fax_number": "336-274-8097"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHOGRY",
        "first_name": "MARK",
        "middle_name": "EDWARD",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-04",
        "last_updated": "2025-10-02",
        "certification_date": "2025-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NC",
            "license": "38848",
            "primary": false
        },
        {
            "code": "2085N0700X",
            "taxonomy_group": "",
            "desc": "Radiology, Neuroradiology",
            "state": "NC",
            "license": "38848",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PARTNERS",
            "identifier": "18335",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1740238740",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "7596B",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "160800",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "300065901",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDCOST",
            "identifier": "70519",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "897596B",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Greensboro, NC

Sources for this page

Verify at the official NPI Registry.