Active NPI
Robert Cory Cruz, FNP-BC
- Family Nurse Practitioner
- Beachwood, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 0028993
- 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
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 |
|---|---|---|---|---|
| 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, OR
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
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
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0028993 | OH | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Multnomah County | Current | Accepting new patients | |
| Multnomah County | Current | Accepting new patients | |
| University Hospitals Cleveland Medical Center | Current | Accepting new patients | |
| Multnomah County | Current | Accepting new patients | |
| University Hospitals Cleveland Medical Center | Current | Accepting new patients | |
| University Hospitals Regional Practices LLC | Current | 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
- rcruz27879@ehrdirect.uhhospitals.org
- 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.
-
- Federally Qualified Health Center (FQHC)
- Portland, OR
- NPI 1609914787
-
- Nurse Practitioner
- Cleveland, OH
- NPI 1043747454
-
- Internal Medicine Physician
- Shaker Heights, OH
- NPI 1336602218
-
- Community/Retail Pharmacy
- Cleveland, OH
- NPI 1952488108
-
- Community Health Clinic/Center
- Portland, OR
- NPI 1639534969
-
- Federally Qualified Health Center (FQHC)
- Gresham, OR
- NPI 1912322074
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Portland, OR
- NPI 1801887658
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2024; 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.