Active NPI
Steven Jacob Pietrusza, B.S.H.S.
- Physician Assistant
- Greenwood, SC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 3035
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
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
Merit-based Incentive Payment System (MIPS)
- Final score
- 94.7 of 100
- Quality
- 89.4
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Self Regional Healthcare | Current | Accepting new patients | |
| Self Medical Group | Current | Accepting new patients | |
| Self Regional Healthcare | Current | Accepting new patients | |
| Self Regional Healthcare | Current | Accepting new patients | |
| Self Medical Group | Current | Accepting new patients | |
| Self Medical Group | Past | 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.
-
- Cardiovascular Disease Physician
- Greenwood, SC
- NPI 1376041798
-
- Diagnostic Radiology Physician
- Greenwood, SC
- NPI 1659839694
-
- Neurology Physician
- Greenwood, SC
- NPI 1285502559
-
- Family Medicine Physician
- Saluda, SC
- NPI 1689472292
-
- Gastroenterology Physician
- Greenwood, SC
- NPI 1841047560
-
- Family Medicine Physician
- Newberry, SC
- NPI 1548068398
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Pain Medicine (Anesthesiology) Physician
- Greenwood, SC
- NPI 1013867498
Hospital
-
- Pain Medicine (Anesthesiology) Physician
- Clinton, SC
- NPI 1720938103
Hospital
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2018; 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.