Individual provider Active NPI

Casey Ryan Shumberger

  • Diagnostic Radiology Physician
  • Durham, NC
National Provider Identifier
1942837109
Registry record updated Aug 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
2025-01913 Issued in NC
Practice address
2301 Erwin Rd
Durham, NC 27705-4699
Phone
(919) 684-8111
NPI assigned
Mar 26, 2020
Last updated
Aug 3, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 3, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X MD-56422 IA
Diagnostic Radiology Physician 2085R0202X 2025-01913 NC Primary
Diagnostic Radiology Physician 2085R0202X 036179320 IL

Addresses

Primary practice location

2301 Erwin Rd
Durham, NC 27705-4699

Mailing address

PO Box 63362
Charlotte, NC 28263-3362

Other practice location 1

1045 W Stephenson St
Freeport, IL 61032-4864
Phone (815) 599-6000

Other practice location 2

500 E Market St
Iowa City, IA 52245-2633
Phone (319) 339-3551

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, IA, WI, IL, SC5 enrollments
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 5

Enrollment IDStateProvider typePAC IDDetails
I20260220002140 NC Practitioner - Diagnostic Radiology 1658795372 Reassigns benefits to 12 organizations
I20260226002301 IA Practitioner - Diagnostic Radiology 1658795372 Reassigns benefits to 2 organizations
I20260518001281 WI Practitioner - Diagnostic Radiology 1658795372 Reassigns benefits to 2 organizations
I20260612000675 IL Practitioner - Radiation Oncology 1658795372 Reassigns benefits to 2 organizations
I20260616000351 SC Practitioner - Diagnostic Radiology 1658795372 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
University of South Carolina School of Medicine, 2020
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

101 E Wood St
Spartanburg, SC 29303-3040

1120 N Melvin St
Gibson City, IL 60936-1477

1202 21St Ave
Rock Valley, IA 51247-1497

1217 N Morgan Rd
Tuttle, OK 73089-8492

1401 W 5TH St
Sheridan, WY 82801-2705

1800 W Charleston Blvd
Las Vegas, NV 89102-2329

1921 Stonecipher Dr
Ada, OK 74820-3439

200 Hawkins Dr
Iowa City, IA 52242-1007

29624 Network PL
Chicago, IL 60673-1296

3186 Village Dr
Suite 201
Fayetteville, NC 28304-3865

37868 US Hwy 18
Prairie Du Chien, WI 53821

3871 N Perryville Rd
Rockford, IL 61114-8080

400 E 3Rd St
Duluth, MN 55805-1951

500 Lauchwood Dr
Laurinburg, NC 28352-5501

8200 E 34TH St Cir N
Suite 1805
Wichita, KS 67226-1362

PO Box
Charlotte, NC 28260

PO Box
Suite 86370
Sioux Falls, SD 57118

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2025-01913NCMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hegg Memorial Hospital CurrentSince Feb 1, 2026 Accepting new patients
Radiology Consultants, LTD. Diagnostic Radiology CurrentSince Mar 1, 2026 Accepting new patients
Allen Memorial Hospital Corporation Diagnostic Radiology CurrentSince Mar 1, 2026 Accepting new patients
Scotland Memorial Hospital Inc CurrentSince Mar 1, 2026 Accepting new patients
Diagnostic Radiology PC Diagnostic Radiology CurrentSince Apr 1, 2026 Accepting new patients
Scotland Memorial Hospital Inc Diagnostic Radiology CurrentSince Mar 1, 2026 Accepting new patients
Hegg Memorial Hospital CurrentSince Feb 1, 2026 Accepting new patients
Radiology Consultants of Iowa, PLC Diagnostic Radiology CurrentSince Feb 15, 2026 Accepting new patients
Grand Island Radiology Associates PC Diagnostic Radiology CurrentSince May 1, 2026 Accepting new patients
Floyd County Memorial Hospital Commission Past Accepting new patients

Locations

1202 21st Ave
Rock Valley, IA 51247
Phone (712) 476-8000

500 Lauchwood Dr
Laurinburg, NC 28352
Phone (856) 848-3227

Organizations & group practices 22

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.

View all 22

NPI Registry JSON

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

{
    "created_epoch": "1585180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785715200000",
    "number": "1942837109",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 63362",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282633362"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2301 ERWIN RD",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277054699",
            "telephone_number": "919-684-8111"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1045 W Stephenson St",
            "address_purpose": "LOCATION",
            "city": "Freeport",
            "state": "IL",
            "postal_code": "610324864",
            "country_code": "US",
            "telephone_number": "815-599-6000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "500 E Market St",
            "address_purpose": "LOCATION",
            "city": "Iowa City",
            "state": "IA",
            "postal_code": "522452633",
            "country_code": "US",
            "telephone_number": "319-339-3551",
            "fax_number": "319-248-7945",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHUMBERGER",
        "first_name": "CASEY",
        "middle_name": "RYAN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-03-26",
        "last_updated": "2026-08-03",
        "certification_date": "2026-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "IA",
            "license": "MD-56422",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NC",
            "license": "2025-01913",
            "primary": true
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "IL",
            "license": "036179320",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Durham, NC

Sources for this page

Verify at the official NPI Registry.