Individual provider Active NPI

George J Murakawa, MD PHD

  • Dermatology Physician
  • Troy, MI
National Provider Identifier
1265422497
Registry record updated Mar 31, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
4301077180 Issued in MI
Practice address
255 Kirts Blvd
Troy, MI 48084-5260
Phone
(248) 244-8448
Fax
(248) 244-8766
NPI assigned
Oct 27, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2021

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

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Procedural Dermatology Physician 207NS0135X GM077180 MI
Dermatology Physician 207N00000X 4301077180 MI Primary
MOHS-Micrographic Surgery Physician 207ND0101X GM077180 MI
Dermatopathology Physician 207ND0900X GM077180 MI
Clinical & Laboratory Dermatological Immunology Physician 207NI0002X GM077180 MI
Pediatric Dermatology Physician 207NP0225X GM077180 MI

Addresses

Primary practice location

255 Kirts Blvd
Troy, MI 48084-5260

Mailing address

255 Kirts Blvd
Troy, MI 48084-5260
Phone (248) 244-8448

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address gmurakawa@somersetskincentre.ezderm.info

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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
I20050114000122 MI Practitioner - Dermatology 6507815800 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Harvard Medical School, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

255 Kirts Blvd
Suite 100
Troy, MI 48084-5260
Phone (248) 244-8448

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
95.29 of 100Reported as individual
Quality
90.58
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision224
Removal of tissue1-10
Removal of skin lesions5022
Removal of skin cancer873
Removal of nail tissue1-10
Removal or shaving of skin growth65
Skin biopsy818

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
GM077180MIMDPediatric Dermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Somerset Skin Centre Mohs-Micrographic Surgery CurrentSince Dec 15, 2004 Accepting new patients
Albany Medical College Past Accepting new patients
Albany Medical College Past Accepting new patients

Locations

255 Kirts Blvd
Ste 100
Troy, MI 48084
Phone (248) 244-8448

Interoperability endpoints

  • Direct secure messaging: gmurakawa1142464@direct.hfhs.org
  • FHIR API: https://app.meldrx.com/api/fhir/ez_00280

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 4

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": "1130371200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617148800000",
    "number": "1265422497",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "255 KIRTS BLVD",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480845260",
            "telephone_number": "248-244-8448",
            "fax_number": "248-244-8766"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "255 KIRTS BLVD",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480845260",
            "telephone_number": "248-244-8448",
            "fax_number": "248-244-8766"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MURAKAWA",
        "first_name": "GEORGE",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "MD PHD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-27",
        "last_updated": "2021-03-31",
        "certification_date": "2021-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207NS0135X",
            "taxonomy_group": "",
            "desc": "Dermatology, Procedural Dermatology",
            "state": "MI",
            "license": "GM077180",
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "MI",
            "license": "4301077180",
            "primary": true
        },
        {
            "code": "207ND0101X",
            "taxonomy_group": "",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": "MI",
            "license": "GM077180",
            "primary": false
        },
        {
            "code": "207ND0900X",
            "taxonomy_group": "",
            "desc": "Dermatology, Dermatopathology",
            "state": "MI",
            "license": "GM077180",
            "primary": false
        },
        {
            "code": "207NI0002X",
            "taxonomy_group": "",
            "desc": "Dermatology, Clinical & Laboratory Dermatological Immunology",
            "state": "MI",
            "license": "GM077180",
            "primary": false
        },
        {
            "code": "207NP0225X",
            "taxonomy_group": "",
            "desc": "Dermatology, Pediatric Dermatology",
            "state": "MI",
            "license": "GM077180",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "gmurakawa@somersetskincentre.ezderm.info",
            "affiliation": "N",
            "address_1": "255 Kirts Blvd",
            "city": "Troy",
            "state": "MI",
            "country_code": "US",
            "postal_code": "480845260",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Troy, MI

Sources for this page

Verify at the official NPI Registry.