Individual provider Active NPI

Steven Jacob Pietrusza, B.S.H.S.

  • Physician Assistant
  • Greenwood, SC
National Provider Identifier
1437112299
Registry record updated Oct 11, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
3035 Issued in SC
Practice address
102 Rockcreek Blvd
Greenwood, SC 29649-8915
Phone
(864) 725-5020
Fax
(864) 725-5615
NPI assigned
Apr 11, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 11, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 3035 SC Primary

Addresses

Primary practice location

102 Rockcreek Blvd
Greenwood, SC 29649-8915

Mailing address

102 Rockcreek Blvd
Greenwood, SC 29649-8915
Phone (864) 725-5020

Other practice location 1

22580 Highway 76 E Ste 300
Laurens, SC 29360-8439
Phone (864) 939-1070

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20181030000656 SC Practitioner - Physician Assistant 0143573774 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Self Medical GroupGroup PAC ID 6002953916, 393 clinicians
Self Regional HealthcareGroup PAC ID 4082527742, 159 clinicians

Practice addresses (Care Compare)

116 Venture CT
Greenwood, SC 29649-8558
Phone (864) 725-5594

22580 Hwy 76 E
Suite 100
Laurens, SC 29360-8460
Phone (864) 833-5986

298 Commerce Dr
Newberry, SC 29108-2953
Phone (803) 321-3232

Hospital & facility affiliations

  • Self Regional Healthcare Hospital, Greenwood, SC, CCN 420071

Merit-based Incentive Payment System (MIPS)

Final score
94.7 of 100Reported as apm
Quality
89.4
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Self Regional Healthcare CurrentSince Sep 24, 2025 Accepting new patients
Self Medical Group CurrentSince Oct 1, 2018 Accepting new patients
Self Regional Healthcare CurrentSince Sep 24, 2025 Accepting new patients
Self Regional Healthcare Current Accepting new patients
Self Medical Group CurrentSince Oct 1, 2018 Accepting new patients
Self Medical Group PastSince May 7, 2024 Accepting new patients
Self Regional Healthcare Past Accepting new patients

Locations

75 Remittance Dr
Dept 6793
Chicago, IL 60675

75 Remittance Dr
Dept 6764
Chicago, IL 60675

102 Rockcreek Blvd
Greenwood, SC 29649
Phone (864) 725-5020

155 Academy Ave
Greenwood, SC 29646
Phone (864) 725-4865

22580 Highway 76 E
Ste 300
Laurens, SC 29360
Phone (864) 725-4183

2605 Kinard St
Ste 200
Newberry, SC 29108
Phone (803) 276-1866

Organizations & group practices 8

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": "1144713600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1539216000000",
    "number": "1437112299",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 ROCKCREEK BLVD",
            "city": "GREENWOOD",
            "state": "SC",
            "postal_code": "296498915",
            "telephone_number": "864-725-5020",
            "fax_number": "864-725-5615"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 ROCKCREEK BLVD",
            "city": "GREENWOOD",
            "state": "SC",
            "postal_code": "296498915",
            "telephone_number": "864-725-5020",
            "fax_number": "864-725-5615"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "22580 Highway 76 E Ste 300",
            "address_purpose": "LOCATION",
            "city": "Laurens",
            "state": "SC",
            "postal_code": "293608439",
            "country_code": "US",
            "telephone_number": "864-939-1070",
            "fax_number": "864-939-1079",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PIETRUSZA",
        "first_name": "STEVEN",
        "middle_name": "JACOB",
        "credential": "B.S.H.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-11",
        "last_updated": "2018-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "SC",
            "license": "3035",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenwood, SC

Sources for this page

Verify at the official NPI Registry.