Active NPI
Andrew J Gresko, MD
- Clinical Cardiac Electrophysiology Physician
- Conway, SC
National Provider Identifier
1245231372
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Cardiac Electrophysiology Physician
- License
- 16174
- Practice address
- 2376 Cypress Cir
Suite 102
Conway, SC 29526-8964 - Phone
- (843) 347-8953
- Fax
- (843) 347-0226
- NPI assigned
- Aug 10, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Cardiac Electrophysiology Physician | 207RC0001X | 16174 | SC | Primary |
| Cardiovascular Disease Physician | 207RC0000X | 16174 | SC |
Addresses
Primary practice location
2376 Cypress Cir
Suite 102
Conway, SC 29526-8964
Mailing address
300 Singleton Ridge Rd
Conway, SC 29526-9142
Phone (843) 234-6948
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 161746 | Medicaid | SC | |
| P01204804 | Other | SC | RAILROAD MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Cardiac Electrophysiology
- Education
- University of South Carolina School of Medicine, 1995
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
5046 Hwy 17 Byp S
Suite 100
Myrtle Beach, SC 29588-4503
Phone (843) 293-5100
Hospital & facility affiliations
- Grand Strand Regional Medical Center
- Tidelands Waccamaw Community Hospital
- Tidelands Georgetown Memorial Hospital
- Conway Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 92.53 of 100
- Quality
- 100
- Improvement activities
- 40
- Cost
- 75.09
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Veritas Healthcare Solutions, LLC | Cardiovascular Disease | Current | Accepting new patients |
| Waccamaw Cardiology PC | Cardiovascular Disease | Past | Accepting new patients |
Locations
5046 Highway 17 Byp S
Ste 100
Myrtle Beach, SC 29588
Phone (843) 293-5100
Interoperability endpoints
- andrew.gresko.1@29696.direct.athenahealth.com
Organizations & group practices 2
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.
-
- Cardiovascular Disease Physician
- Myrtle Beach, SC
- NPI 1124442611
Hospital & facility affiliations 17
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Conway, SC
- NPI 1134172000
-
- Rehabilitation Hospital Unit
- Conway, SC
- NPI 1154991487
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1123632000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1550707200000",
"number": "1245231372",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "300 SINGLETON RIDGE RD",
"city": "CONWAY",
"state": "SC",
"postal_code": "295269142",
"telephone_number": "843-234-6948",
"fax_number": "843-234-6990"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2376 CYPRESS CIR",
"address_2": "SUITE 102",
"city": "CONWAY",
"state": "SC",
"postal_code": "295268964",
"telephone_number": "843-347-8953",
"fax_number": "843-347-0226"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRESKO",
"first_name": "ANDREW",
"middle_name": "J",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-08-10",
"last_updated": "2019-02-21",
"status": "A"
},
"taxonomies": [
{
"code": "207RC0001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Clinical Cardiac Electrophysiology",
"state": "SC",
"license": "16174",
"primary": true
},
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "SC",
"license": "16174",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "161746",
"state": "SC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P01204804",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Conway, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2019; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.