Individual provider Active NPI

Robert Cory Cruz, FNP-BC

  • Family Nurse Practitioner
  • Beachwood, OH
National Provider Identifier
1013680537
Registry record updated Jan 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
0028993 Issued in OH
Practice address
3700 Park East Dr Ste 450
Beachwood, OH 44122-4318
Phone
(866) 849-0692
NPI assigned
Jul 29, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 0028993 OH Primary

Addresses

Primary practice location

3700 Park East Dr Ste 450
Beachwood, OH 44122-4318

Mailing address

PO Box 211699
Eagan, MN 55121-3699
Phone (866) 849-0692

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, OR2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20210929003579 OH Practitioner - Nurse Practitioner 2668879867 Reassigns benefits to 2 organizations
I20250604002200 OR Practitioner - Nurse Practitioner 2668879867 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Multnomah CountyGroup PAC ID 6608771787, 111 clinicians

Practice addresses (Care Compare)

12710 SE Division
Portland, OR 97236-3134
Phone (503) 988-3601

3653 SE 34TH Ave
Portland, OR 97202-3034
Phone 503988366325879

600 NE 8TH St
Gresham, OR 97030-7317
Phone (503) 988-7468

Hospital & facility affiliations

  • Adventist Health Portland Hospital, Portland, OR, CCN 380060

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
0028993OHMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Multnomah County Current Accepting new patients
Multnomah County CurrentSince Mar 23, 2025 Accepting new patients
University Hospitals Cleveland Medical Center CurrentSince Aug 1, 2021 Accepting new patients
Multnomah County CurrentSince Mar 23, 2025 Accepting new patients
University Hospitals Cleveland Medical Center CurrentSince Aug 1, 2021 Accepting new patients
University Hospitals Regional Practices LLC CurrentSince Jan 16, 2023 Accepting new patients

Locations

88 Center Rd
Ste 130
Cleveland, OH 44146
Phone (440) 232-4455

11100 Euclid Ave
Cleveland Heights, OH 44106

15976 E High St
Ste 100
Middlefield, OH 44062
Phone (440) 632-0770

600 NE 8th St
Gresham, OR 97030
Phone (503) 988-4900

209 SW 4th Ave
Ste 210
Portland, OR 97204
Phone (503) 988-3674

12710 SE Division St
Portland, OR 97236
Phone (503) 988-3410

Interoperability endpoints

  • Direct secure messaging: rcruz27879@ehrdirect.uhhospitals.org
  • Direct secure messaging: rcruz793923@direct.multicare.org

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 and National Provider Directory roles.

Hospital & facility affiliations 1

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": "1627516800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706572800000",
    "number": "1013680537",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 211699",
            "city": "EAGAN",
            "state": "MN",
            "postal_code": "551213699",
            "telephone_number": "866-849-0692"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3700 PARK EAST DR STE 450",
            "city": "BEACHWOOD",
            "state": "OH",
            "postal_code": "441224318",
            "telephone_number": "866-849-0692"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRUZ",
        "first_name": "ROBERT",
        "middle_name": "CORY",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-07-29",
        "last_updated": "2024-01-30",
        "certification_date": "2024-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "0028993",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beachwood, OH

Sources for this page

Verify at the official NPI Registry.