Individual provider Active NPI

Michael Cross, M.D.

  • Surgery Physician
  • Murrieta, CA
National Provider Identifier
1053484113
Registry record updated Feb 5, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
G604870 Issued in CA
Practice address
25470 Medical Center Dr
Suite 203
Murrieta, CA 92562-4900
Phone
(951) 973-7290
Fax
(951) 973-7299
NPI assigned
Nov 16, 2006
Last updated
Feb 5, 2015By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X G604870 CA Primary

Addresses

Primary practice location

25470 Medical Center Dr
Suite 203
Murrieta, CA 92562-4900

Mailing address

25470 Medical Center Dr
Suite 203
Murrieta, CA 92562-4900
Phone (951) 973-7290

Other identifiers 1

IdentifierTypeStateIssuer
DY740AOtherMEDICARE PTAN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ID
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
I20221121002704 ID Practitioner - General Surgery 3971607664 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
University of California, Geffen School of Medicine, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Idaho Falls Surgical Specialists PLLCGroup PAC ID 6406233444, 2 clinicians

Practice addresses (Care Compare)

2805 Valencia Dr
Idaho Falls, ID 83404-7597
Phone (208) 525-9400

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10
Hernia repair (minimally invasive)1-10
Mastectomy1-10
Upper gastrointestinal (GI) endoscopy for acid reflux1-10
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
G604870CAMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Idaho Falls Surgical Specialists, PLLC Surgery CurrentSince Apr 3, 2022 Accepting new patients
West Gastroenterology Medical Group Past Accepting new patients

Locations

2805 Valencia Dr
Idaho Falls, ID 83404
Phone (208) 525-9400

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/IADCBA/Endpoint/IADCBA
  • Direct secure messaging: mcross181884@direct.llu.edu

Organizations & group practices 2

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 3

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": "1163635200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1423094400000",
    "number": "1053484113",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25470 MEDICAL CENTER DR",
            "address_2": "SUITE 203",
            "city": "MURRIETA",
            "state": "CA",
            "postal_code": "925624900",
            "telephone_number": "951-973-7290",
            "fax_number": "951-973-7299"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25470 MEDICAL CENTER DR",
            "address_2": "SUITE 203",
            "city": "MURRIETA",
            "state": "CA",
            "postal_code": "925624900",
            "telephone_number": "951-973-7290",
            "fax_number": "951-973-7299"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CROSS",
        "first_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-16",
        "last_updated": "2015-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "CA",
            "license": "G604870",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "DY740A",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Murrieta, CA

Sources for this page

Verify at the official NPI Registry.