Individual provider Active NPI

Jon Mugweru, M.D.

  • Vascular & Interventional Radiology Physician
  • Greensboro, NC
National Provider Identifier
1932583804
Registry record updated Oct 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular & Interventional Radiology PhysicianTaxonomy code 2085R0204X
License
2022-00503 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
Jul 10, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2025

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

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X NM
Vascular & Interventional Radiology Physician 2085R0204X 87219 SC
Student in an Organized Health Care Education/Training Program 390200000X TRN21721 FL
Vascular & Interventional Radiology Physician 2085R0204X 2022-00503 NC Primary
Vascular & Interventional Radiology Physician 2085R0204X 0101274007 VA
Student in an Organized Health Care Education/Training Program 390200000X NC

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

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
I20220623003301 NC Practitioner - Interventional Radiology 3375859424 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Interventional Radiology
Education
Wake Forest University School of Medicine, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Greensboro Radiology PAGroup PAC ID 8729074901, 236 clinicians
Diagnostic Radiology and Imaging LLCGroup PAC ID 4183517097, 87 clinicians

Practice addresses (Care Compare)

1200 N Elm St
Greensboro, NC 27401-1004
Phone (336) 274-6682

1240 Huffman Mill Rd
Burlington, NC 27215-8700
Phone (336) 538-7000

1248 Huffman Mill Rd
Burlington, NC 27215-8700
Phone (336) 274-6682

1331 N Elm St
Greensboro, NC 27401-6304
Phone (336) 274-6682

2400 W Friendly Ave
Greensboro, NC 27403-1109
Phone (336) 274-6682

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

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

601 N Elm St
High Point, NC 27262-4331
Phone (336) 274-6682

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

Hospital & facility affiliations

  • Moses H. Cone Memorial Hospital, the Hospital, Greensboro, NC, CCN 340091
  • Alamance Regional Medical Center Hospital, Burlington, NC, CCN 340070
  • High Point Regional Health System Hospital, High Point, NC, CCN 340004

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2022-00503NCMDVascular & Interventional Radiology Physician
87219SCMDVascular & Interventional Radiology Physician
0101274007VAMDVascular & Interventional Radiology Physician
TRN21721FLMDStudent in an Organized Health Care Education/Training Program

Practice roles

OrganizationSpecialtyStatusNew patients
Wake Forest Health Network LLC Current Accepting new patients
The Moses H. Cone Memorial Hospital Operating Corporation CurrentSince Jan 20, 2025 Accepting new patients
Diagnostic Radiology & Imaging LLC CurrentSince Jun 14, 2022 Accepting new patients
Greensboro Radiology, PA Vascular & Interventional Radiology CurrentSince Jun 14, 2022 Accepting new patients
Wake Forest Health Network LLC CurrentSince Jun 14, 2022 Accepting new patients
Imrad of Virginia PLLC Vascular & Interventional Radiology CurrentSince Jun 14, 2022 Accepting new patients
Wake Forest Health Network, LLC CurrentSince Jun 14, 2022 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 CurrentSince Aug 1, 2023 Accepting new patients
Pinnacle Health Services of North Carolina LLC CurrentSince Aug 1, 2023 Accepting new patients
The Moses H. Cone Memorial Hospital Operating Corporation CurrentSince Jan 20, 2025 Accepting new patients
The Moses H Cone Memorial Hospital Operating Corporation CurrentSince Jan 20, 2025 Accepting new patients
Diagnostic Radiology & Imaging, LLC Past Accepting new patients

Locations

4030 Oaks Professional Pkwy
Ste 101
Burlington, NC 27215

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

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

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

1126 N Church St
Ste 200
Greensboro, NC 27401
Phone (336) 379-0941

905 Phillips Ave
High Point, NC 27262
Phone (336) 802-2040

1814 Westchester Dr
Ste 100
High Point, NC 27262
Phone (336) 802-2397

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 3

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": "1436486400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759276800000",
    "number": "1932583804",
    "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": "MUGWERU",
        "first_name": "JON",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-07-10",
        "last_updated": "2025-10-01",
        "certification_date": "2025-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NM",
            "license": null,
            "primary": false
        },
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "SC",
            "license": "87219",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "FL",
            "license": "TRN21721",
            "primary": false
        },
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "NC",
            "license": "2022-00503",
            "primary": true
        },
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "VA",
            "license": "0101274007",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NC",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greensboro, NC

Sources for this page

Verify at the official NPI Registry.