Antonio P. Cruz, MD

Primary specialty

MOHS-Micrographic Surgery PhysicianTaxonomy code 207ND0101X

License

MD13344 Issued in RI

Practice address

1287 N Main St
Providence, RI 02904-1856

Phone

(401) 272-2724

Fax

(401) 272-2784

NPI assigned

Aug 8, 2007

Last updated

Oct 14, 2020By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Enrolled in RI, MA2 enrollments

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 2

Specialty

Micrographic Dermatologic Surgery (MDS)Also: Dermatology

Education

Other, 2006

Medicare assignment

May accept Medicare assignment

Group practices

Skinpros, LLCGroup PAC ID 8921260951, 8 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• The Miriam Hospital Hospital, Providence, RI, CCN 410012

Merit-based Incentive Payment System (MIPS)

Final score

100 of 100Reported as group

Quality

100

Improvement activities

40

Merit-based Incentive Payment System (MIPS)

Final score

100 of 100Reported as group

Quality

100

Improvement activities

40

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• Skinpros LLC

  • Dermatology Physician
  • Providence, RI
  • NPI 1881966901
  Medicare reassignment Care Compare group Authorized official
• Skinpros International PLLC

  • Dermatology Physician
  • Swansea, MA
  • NPI 1710523618
  Medicare reassignment NPD Authorized official
• Northeast Dermatology Associates, PC

  • Specialist
  • North Andover, MA
  • NPI 1104921162
  Medicare reassignment NPD
• Skinpros New England

  • Clinic/Center
  • Providence, RI
  • NPI 1467124727
  NPD Authorized official
• Neda at North Shore PC

  • Dermatology Physician
  • Marblehead, MA
  • NPI 1902345861
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• The Miriam Hospital

  • General Acute Care Hospital
  • Providence, RI
  • NPI 1487649430
  Care Compare affiliation

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

{
    "created_epoch": "1186531200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602633600000",
    "number": "1063603553",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1287 N MAIN ST",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029041856",
            "telephone_number": "401-272-2724",
            "fax_number": "401-272-2784"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1287 N MAIN ST",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029041856",
            "telephone_number": "401-272-2724",
            "fax_number": "401-272-2784"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1675 GAR Hwy",
            "address_purpose": "LOCATION",
            "city": "Swansea",
            "state": "MA",
            "postal_code": "027773901",
            "country_code": "US",
            "telephone_number": "401-272-2724",
            "fax_number": "401-272-2784",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CRUZ",
        "first_name": "ANTONIO",
        "middle_name": "P.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-08-08",
        "last_updated": "2020-10-14",
        "certification_date": "2020-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "RI",
            "license": "MD13344",
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "MA",
            "license": "246717",
            "primary": false
        },
        {
            "code": "207ND0101X",
            "taxonomy_group": "",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": "MA",
            "license": "246717",
            "primary": false
        },
        {
            "code": "207ND0101X",
            "taxonomy_group": "",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": "RI",
            "license": "MD13344",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amanda Kelly Crowell, DPT
• Laina E Crowthers, MD
• Marjorie Lynn Crozier, PSYD
• Margarita Cruz-Sanchez
• Amarylis Cruz
• Ashley Cruz
• Claribel Cruz, PMHNP-BC
• Dilenia C Cruz
• Donna Marie Cruz, CNM
• Kaitlin Cruz, RN, CDOE

• MOHS-Micrographic Surgery Physician in Providence, RI
• Providers in Providence, RI by specialty
• MOHS-Micrographic Surgery Physician in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2020; 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.

Verify at the official NPI Registry.