Individual provider Active NPI

Gregory Kranzusch, DPM

  • Foot & Ankle Surgery Podiatrist
  • Saint Charles, MO
National Provider Identifier
1255396180
Registry record updated Dec 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
2001012399 Issued in MO
Practice address
1519 S Old Highway 94
Saint Charles, MO 63303-3736
Phone
(636) 947-3668
NPI assigned
Apr 20, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 23, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X 2001012399 MO Primary

Addresses

Primary practice location

1519 S Old Highway 94
Saint Charles, MO 63303-3736

Mailing address

1519 S Old Highway 94
Saint Charles, MO 63303-3736
Phone (636) 947-3668

Other identifiers 1

IdentifierTypeStateIssuer
305456105MedicaidMO

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100128000662 MO Practitioner - Podiatry 5991847931 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1519 S Old Hwy 94
Saint Charles, MO 63303-3736
Phone (636) 947-3668

Merit-based Incentive Payment System (MIPS)

Final score
83.56 of 100Reported as group
Quality
67.11
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of tissue44
Removal of skin lesions138
Removal of nail tissue31

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Foot & Ankle Center of St Charles County LLC Foot & Ankle Surgery CurrentSince Sep 30, 2024 Accepting new patients
Foot & Ankle Center, LLC Foot & Ankle Surgery PastSince Nov 1, 2010 Accepting new patients

Locations

1519 S Old Highway 94
Saint Charles, MO 63303
Phone (636) 946-0181

Interoperability endpoints

  • Direct secure messaging: kranzusch.gregory.004.0050435@tfh.meditab.direct-ci.com
  • Direct secure messaging: kranzusch.gregory.002.0050435@tfh.meditab.direct-ci.com
  • Direct secure messaging: kranzusch.gregory.001.0050435@tfh.meditab.direct-ci.com
  • Direct secure messaging: kranzusch.gregory.006.0050435@tfh.meditab.direct-ci.com
  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/
  • Direct secure messaging: gregory.kranzusch@faacl-mo.direct.office.nextgen.com
  • Direct secure messaging: kranzusch.gregory.003.0050435@tfh.meditab.direct-ci.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.

NPI Registry JSON

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

{
    "created_epoch": "1145491200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734912000000",
    "number": "1255396180",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1519 S OLD HIGHWAY 94",
            "city": "SAINT CHARLES",
            "state": "MO",
            "postal_code": "633033736",
            "telephone_number": "636-947-3668"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1519 S OLD HIGHWAY 94",
            "city": "SAINT CHARLES",
            "state": "MO",
            "postal_code": "633033736",
            "telephone_number": "636-947-3668"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRANZUSCH",
        "first_name": "GREGORY",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-20",
        "last_updated": "2024-12-23",
        "certification_date": "2024-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "MO",
            "license": "2001012399",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "305456105",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Charles, MO

Sources for this page

Verify at the official NPI Registry.