Individual provider Active NPI

Laura McIlwain Cruse, MD

  • Rheumatology Physician
  • Tampa, FL
National Provider Identifier
1043322019
Registry record updated Oct 1, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rheumatology PhysicianTaxonomy code 207RR0500X
License
ME84358 Issued in FL
Practice address
13801 Bruce B Downs Blvd Ste 406
Tampa, FL 33613
Phone
(813) 345-2380
Fax
(813) 971-5247
NPI assigned
Aug 31, 2006
Last updated
Oct 1, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Rheumatology Physician 207RR0500X ME84358 FL Primary
Internal Medicine Physician 207R00000X ME84358 FL

Addresses

Primary practice location

13801 Bruce B Downs Blvd Ste 406
Tampa, FL 33613

Mailing address

13801 Bruce B Downs Blvd Ste 406
Tampa, FL 33613-3923
Phone (813) 345-2380

Other practice location 1

4700 N Habana Ave
Suite 201
Tampa, FL 33614-7117
Phone (813) 879-5485 ext. 2225

Other names 1

  • Dr. Laura Elizabeth McIlwain Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20041002000048 FL Practitioner - Internal MedicinePractitioner - Rheumatology 1658340914 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Rheumatology
Education
University of South Florida College of Medicine, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Florida Hospital Physician Group IncGroup PAC ID 2365679057, 953 clinicians

Practice addresses (Care Compare)

13901 Bruce B Downs Blvd
Tampa, FL 33613-3905
Phone (813) 615-7260

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME84358FLMDRheumatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Florida Hospital Physician Group Inc Internal Medicine CurrentSince Oct 1, 2018 Accepting new patients

Locations

13801 Bruce B Downs Blvd
Ste 406
Tampa, FL 33613
Phone (813) 345-2380

13901 Bruce B Downs Blvd
Tampa, FL 33613
Phone (813) 615-7260

3100 E Fletcher Ave
Tampa, FL 33613
Phone (813) 615-7200

4700 N Habana Ave
Ste 201
Tampa, FL 33614
Phone (727) 527-5100

3500 E Fletcher Ave
Ste 400
Tampa, FL 33613
Phone (813) 580-5479

2700 Healing Way
Ste 310
Wesley Chapel, FL 33543
Phone (813) 779-1209

Networks

  • Freedom Health HMO Network
  • Optimum HealthCare HMO Network

Interoperability endpoints

  • Direct secure messaging: lcruse73805@adventhealth.direct-ci.com

Organizations & group practices 1

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.

Hospital & facility affiliations 7

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": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1538352000000",
    "number": "1043322019",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13801 BRUCE B DOWNS BLVD STE 406",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336133923",
            "telephone_number": "813-345-2380",
            "fax_number": "813-971-5247"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13801 BRUCE B DOWNS BLVD STE 406",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "33613",
            "telephone_number": "813-345-2380",
            "fax_number": "813-971-5247"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4700 N Habana Ave",
            "address_2": "Suite 201",
            "address_purpose": "LOCATION",
            "city": "Tampa",
            "state": "FL",
            "postal_code": "336147117",
            "country_code": "US",
            "telephone_number": "813-879-5485 x2225",
            "fax_number": "813-871-6141",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CRUSE",
        "first_name": "LAURA",
        "middle_name": "MCILWAIN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-31",
        "last_updated": "2018-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "FL",
            "license": "ME84358",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME84358",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LAURA",
            "last_name": "MCILWAIN",
            "middle_name": "ELIZABETH",
            "prefix": "DR.",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Tampa, FL

Sources for this page

Verify at the official NPI Registry.