NPIMap

Organization Active NPI

Gelsimo a. Cruz, M.D. P.a.

  • Gastroenterology Physician
  • Glen Burnie, MD
National Provider Identifier
1033478631
Registry record updated May 16, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
D0018126 Issued in MD
Legal business name
GELSIMO A. CRUZ, M.D. P.A.
Practice address
300 Hospital Drive
Suite 230
Glen Burnie, MD 21061-5803
Phone
(410) 768-2700
Fax
(410) 768-2701
NPI assigned
May 16, 2012
Last updated
May 16, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 16, 2012

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

Authorized official

Name
Mr. Gelsimo Angeles Cruz, M.D.NPI 1265509277
Title
President
Phone
(410) 768-2700

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X D0018126 MD Primary

Addresses

Primary practice location

300 Hospital Drive
Suite 230
Glen Burnie, MD 21061-5803

Mailing address

300 Hospital Drive
Suite 230
Glen Burnie, MD 21061-5803
Phone (410) 768-2700

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120808000056 MD Part B Supplier - Clinic/Group Practice 8426204462 Receives reassigned benefits from 1 practitioner
Practice locations: Glen Burnie, MD

National Provider Directory

National Provider Directory

Locations

300 Hospital Dr
Ste 230
Glen Burnie, MD 21061
Phone (410) 768-2700

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1337126400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1337126400000",
    "number": "1033478631",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 HOSPITAL DRIVE",
            "address_2": "SUITE 230",
            "city": "GLEN BURNIE",
            "state": "MD",
            "postal_code": "210615803",
            "telephone_number": "410-768-2700",
            "fax_number": "410-768-2701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 HOSPITAL DRIVE",
            "address_2": "SUITE 230",
            "city": "GLEN BURNIE",
            "state": "MD",
            "postal_code": "210615803",
            "telephone_number": "410-768-2700",
            "fax_number": "410-768-2701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GELSIMO A. CRUZ, M.D. P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-16",
        "last_updated": "2012-05-16",
        "status": "A",
        "authorized_official_last_name": "CRUZ",
        "authorized_official_first_name": "GELSIMO",
        "authorized_official_middle_name": "ANGELES",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "410-768-2700",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "MD",
            "license": "D0018126",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glen Burnie, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.