Mary J Shroff, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

MD00034855 Issued in WA

Practice address

209 Main Ave S
Suite 115
North Bend, WA 98045-8139

Phone

(425) 831-0777

Fax

(425) 831-0505

NPI assigned

Mar 31, 2006

Sex

Female

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 WA

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

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.

• Rainier Emergency Services PS

  dba Meadowbrook Urgent Care & Specialty Clinic

  • Multi-Specialty Clinic/Center
  • North Bend, WA
  • NPI 1528154101
  Medicare reassignment NPD
• King County Public Hospital District No. 2

  dba EvergreenHealth at Home Physical Therapy

  • Physical Therapist
  • Kirkland, WA
  • NPI 1356920946
  NPD (past)

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

{
    "created_epoch": "1143763200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1760443493",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2810",
            "city": "NORTH BEND",
            "state": "WA",
            "postal_code": "980452810",
            "telephone_number": "425-831-0777",
            "fax_number": "425-831-0505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "209 MAIN AVE S",
            "address_2": "SUITE 115",
            "city": "NORTH BEND",
            "state": "WA",
            "postal_code": "980458139",
            "telephone_number": "425-831-0777",
            "fax_number": "425-831-0505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHROFF",
        "first_name": "MARY",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-31",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "WA",
            "license": "MD00034855",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1118496",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sage & Soul Massage PLLC
• Sharon Ann Sandin, LMP
• Kate E Schjoneman, M.S. CCC-SLP
• Megan Schweppenheiser
• Sophia Anastasia Seely
• Simplicity Nutrition, Inc.
• Kavita Maya Iyengar Sleight, OTR/L
• Heather Smith
• Mackenzie Nicole Snell
• South Texas Sleep Medicine LLC

• Internal Medicine Physician in North Bend, WA
• Providers in North Bend, WA by specialty
• Internal Medicine Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.