Individual provider Active NPI

Jason Matthew Hirshburg, M.D. PH.D.

  • MOHS-Micrographic Surgery Physician
  • Oklahoma City, OK
National Provider Identifier
1003251943
Registry record updated Jan 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
MOHS-Micrographic Surgery PhysicianTaxonomy code 207ND0101X
License
33503 Issued in OK
Practice address
7336 N Classen Blvd Ste 200
Oklahoma City, OK 73116-7114
Phone
(405) 285-8823
Fax
(405) 285-8824
NPI assigned
May 6, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 33503 OK
MOHS-Micrographic Surgery Physician 207ND0101X 33503 OK Primary

Addresses

Primary practice location

7336 N Classen Blvd Ste 200
Oklahoma City, OK 73116-7114

Mailing address

7336 N Classen Blvd Ste 200
Oklahoma City, OK 73116-7114
Phone (405) 285-8823

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, OK2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20170607000629 TX Practitioner - DermatologyPractitioner - Micrographic Dermatologic Surgery (MDS) 9032486428 Reassigns benefits to 1 organization
I20180725003341 OK Practitioner - Micrographic Dermatologic Surgery (MDS)Practitioner - Dermatology 9032486428 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Micrographic Dermatologic Surgery (MDS)Also: Dermatology
Education
University of Oklahoma College of Medicine, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Heritage Health Services LLCGroup PAC ID 7214314111, 15 clinicians

Practice addresses (Care Compare)

6516 N Olie Ave
Suite G
Oklahoma City, OK 73116-7399
Phone (405) 608-8060

Merit-based Incentive Payment System (MIPS)

Final score
77.26 of 100Reported as group
Quality
53.73
Promoting interoperability
100
Improvement activities
40
Cost
70.48

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision44
Removal of tissue1-10
Removal of skin lesions190
Removal of skin cancer253
Skin biopsy56

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Ou Health Partners, Inc CurrentSince Jul 1, 2021 Accepting new patients
Board of Regents of the University of Oklahoma - Ou Physicians CurrentSince Jul 2, 2018 Accepting new patients
Ou Health Partners, Inc CurrentSince Jul 1, 2021 Accepting new patients
Heritage Health Services LLC CurrentSince Jan 1, 2025 Accepting new patients
Board of Regents of the University of Oklahoma - Ou Physicians CurrentSince Jul 2, 2018 Accepting new patients
Utmb Faculty Group Practice Dermatology CurrentSince May 22, 2017 Accepting new patients
Jackson County Memorial Hospital Authority Past Accepting new patients

Locations

1354 E 15th St
Edmond, OK 73013
Phone (405) 285-8823

6516 N Olie Ave
Ste G
Oklahoma City, OK 73116
Phone (405) 608-8060

900 NE 10th St
Oklahoma City, OK 73104
Phone (405) 271-2230

619 NE 13th St
Oklahoma City, OK 73104
Phone (405) 271-5831

825 NE 10th St
Oklahoma City, OK 73104
Phone (405) 271-4864

7336 N Classen Blvd
Ste 200
Oklahoma City, OK 73116
Phone (405) 285-8823

301 University Blvd
#4112
Galveston, TX 77555
Phone (409) 772-1911

301 University Blvd
Galveston, TX 77555
Phone (409) 747-1883

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/IGEGCD/Endpoint/IGEGCD

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1367798400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737417600000",
    "number": "1003251943",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7336 N CLASSEN BLVD STE 200",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731167114",
            "telephone_number": "405-285-8823",
            "fax_number": "405-285-8824"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7336 N CLASSEN BLVD STE 200",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731167114",
            "telephone_number": "405-285-8823",
            "fax_number": "405-285-8824"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HIRSHBURG",
        "first_name": "JASON",
        "middle_name": "MATTHEW",
        "credential": "M.D. PH.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-05-06",
        "last_updated": "2025-01-21",
        "certification_date": "2025-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "OK",
            "license": "33503",
            "primary": false
        },
        {
            "code": "207ND0101X",
            "taxonomy_group": "",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": "OK",
            "license": "33503",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oklahoma City, OK

Sources for this page

Verify at the official NPI Registry.