Individual provider Active NPI

George J. Hruza, M.D.

  • MOHS-Micrographic Surgery Physician
  • Chesterfield, MO
National Provider Identifier
1013912906
Registry record updated Mar 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
MOHS-Micrographic Surgery PhysicianTaxonomy code 207ND0101X
License
R6H14 Issued in MO
Practice address
1001 Chesterfield Pkwy E
Ste 101
Chesterfield, MO 63017-2041
Phone
(314) 878-3839
Fax
(314) 878-6575
NPI assigned
Jun 16, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 23, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Procedural Dermatology Physician 207NS0135X R6H14 MO
MOHS-Micrographic Surgery Physician 207ND0101X R6H14 MO Primary

Addresses

Primary practice location

1001 Chesterfield Pkwy E
Ste 101
Chesterfield, MO 63017-2041

Mailing address

1001 Chesterfield Pkwy E
Ste 101
Chesterfield, MO 63017-2041
Phone (314) 878-3839

Electronic endpoints 1

TypeEndpointUseAffiliation
FHIR URL httpsepicproxyet0965epichostedcomFHIRProxyapiFHIRDSTU2 Barnes Jewish Hospital

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
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
I20080722000664 MO Practitioner - Micrographic Dermatologic Surgery (MDS)Practitioner - Dermatology 2365515418 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Micrographic Dermatologic Surgery (MDS)Also: Dermatology
Education
New York University School of Medicine, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
United Skin Specialists Missouri LTD PCGroup PAC ID 8123310554, 14 clinicians

Practice addresses (Care Compare)

1001 Chesterfield Pkwy E
Chesterfield, MO 63017-2167

Hospital & facility affiliations

  • Missouri Baptist Medical Center Hospital, Saint Louis, MO, CCN 260108

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision33
Removal of tissue1-10
Removal of skin lesions1-10
Removal of skin cancer321
Skin biopsy13

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R6H14MOMDProcedural Dermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
SSM Health Care Group CurrentSince Jul 1, 2022 Accepting new patients
SSM Health Care Group CurrentSince Jul 1, 2022 Accepting new patients

Locations

3635 Vista Ave
Saint Louis, MO 63110
Phone (314) 577-8022

10101 Woodfield Ln
Saint Louis, MO 63132
Phone (608) 280-4647

Interoperability endpoints

  • Direct secure messaging: ghruza9658@direct-ehr-ssmhc.com

Organizations & group practices 3

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.

Hospital & facility affiliations 1

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": "1118880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616457600000",
    "number": "1013912906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 CHESTERFIELD PKWY E",
            "address_2": "STE 101",
            "city": "CHESTERFIELD",
            "state": "MO",
            "postal_code": "630172041",
            "telephone_number": "314-878-3839",
            "fax_number": "314-878-6575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 CHESTERFIELD PKWY E",
            "address_2": "STE 101",
            "city": "CHESTERFIELD",
            "state": "MO",
            "postal_code": "630172041",
            "telephone_number": "314-878-3839",
            "fax_number": "314-878-6575"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HRUZA",
        "first_name": "GEORGE",
        "middle_name": "J.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-06-16",
        "last_updated": "2021-03-23",
        "certification_date": "2021-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207NS0135X",
            "taxonomy_group": "",
            "desc": "Dermatology, Procedural Dermatology",
            "state": "MO",
            "license": "R6H14",
            "primary": false
        },
        {
            "code": "207ND0101X",
            "taxonomy_group": "",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": "MO",
            "license": "R6H14",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "httpsepicproxyet0965epichostedcomFHIRProxyapiFHIRDSTU2",
            "affiliation": "Y",
            "affiliationName": "Barnes Jewish Hospital",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Application Programming Interface- API",
            "address_1": "1001 Chesterfield Pkwy E",
            "address_2": "Ste 101",
            "city": "Chesterfield",
            "state": "MO",
            "country_code": "US",
            "postal_code": "630172041",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Chesterfield, MO

Sources for this page

Verify at the official NPI Registry.