Individual provider Active NPI

Greg S Morganroth, M.D.

  • Dermatology Physician
  • Palo Alto, CA
National Provider Identifier
1639217458
Registry record updated Feb 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
G81771 Issued in CA
Practice address
301 High St
Palo Alto, CA 94301-1043
Phone
(650) 969-5600
Fax
(650) 969-0360
NPI assigned
Feb 2, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
MOHS-Micrographic Surgery Physician 207ND0101X G81771 CA
Procedural Dermatology Physician 207NS0135X G81771 CA
Dermatology Physician 207N00000X G81771 CA Primary

Addresses

Primary practice location

301 High St
Palo Alto, CA 94301-1043

Mailing address

301 High St
Palo Alto, CA 94301-1043
Phone (650) 969-5600

Other practice location 1

2420 Samaritan Dr
San Jose, CA 95124-3907
Phone (408) 369-5600

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20040219000807 CA Practitioner - DermatologyPractitioner - Micrographic Dermatologic Surgery (MDS) 5890680672 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
DermatologyAlso: Micrographic Dermatologic Surgery (MDS)
Education
University of Michigan Medical School, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Palo Alto Dermatology InstituteGroup PAC ID 6204368277, 6 clinicians

Practice addresses (Care Compare)

301 High St
Palo Alto, CA 94301-1043
Phone (650) 546-4929

Merit-based Incentive Payment System (MIPS)

Final score
85.34 of 100Reported as group
Quality
90.85
Promoting interoperability
87
Improvement activities
40
Cost
71.11

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision828
Removal of skin lesions1715
Removal of skin cancer1443
Removal of nail tissue1-10
Removal or shaving of skin growth646
Skin biopsy311

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
G81771CAMDMOHS-Micrographic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Palo Alto Dermatology Institute Dermatology CurrentSince Nov 1, 2024 Accepting new patients
Orchard Creek Surgery Center CurrentSince Apr 3, 2003 Accepting new patients
Orchard Creek Surgery Center CurrentSince Jun 2, 2018 Accepting new patients
El Camino Health Medical Network, LLC Past Accepting new patients
California Skin Institute, a Medical Corporation Dermatology Past Accepting new patients

Locations

525 South Dr
Ste 115
Mountain View, CA 94040
Phone (408) 369-5600

301 High St
Palo Alto, CA 94301
Phone (650) 546-4929

2420 Samaritan Dr
San Jose, CA 95124
Phone (408) 369-5600

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1170374400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740700800000",
    "number": "1639217458",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 HIGH ST",
            "city": "PALO ALTO",
            "state": "CA",
            "postal_code": "943011043",
            "telephone_number": "650-969-5600",
            "fax_number": "650-969-0360"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 HIGH ST",
            "city": "PALO ALTO",
            "state": "CA",
            "postal_code": "943011043",
            "telephone_number": "650-969-5600",
            "fax_number": "650-969-0360"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2420 Samaritan Dr",
            "address_purpose": "LOCATION",
            "city": "San Jose",
            "state": "CA",
            "postal_code": "951243907",
            "country_code": "US",
            "telephone_number": "408-369-5600",
            "fax_number": "408-369-5625",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MORGANROTH",
        "first_name": "GREG",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-02",
        "last_updated": "2025-02-28",
        "certification_date": "2025-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ND0101X",
            "taxonomy_group": "",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": "CA",
            "license": "G81771",
            "primary": false
        },
        {
            "code": "207NS0135X",
            "taxonomy_group": "",
            "desc": "Dermatology, Procedural Dermatology",
            "state": "CA",
            "license": "G81771",
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "CA",
            "license": "G81771",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palo Alto, CA

Sources for this page

Verify at the official NPI Registry.