Individual provider Active NPI

Elizabeth M. Cruz, M.D.

  • Internal Medicine Physician
  • Chicago, IL
National Provider Identifier
1093869141
Registry record updated Oct 25, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
036085454 Issued in IL
Practice address
840 W Irving Park Rd Ste 206
Chicago, IL 60613-3011
Phone
(773) 975-6825
Fax
(773) 404-0713
NPI assigned
Jan 23, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 25, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 036085454 IL Primary

Addresses

Primary practice location

840 W Irving Park Rd Ste 206
Chicago, IL 60613-3011

Mailing address

818 Leyden LN
Wilmette, IL 60091-2159
Phone (847) 853-7981

Other identifiers 2

IdentifierTypeStateIssuer
036085454MedicaidIL
335251OtherILPTAN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
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
I20110506000666 IL Practitioner - Internal Medicine 1153506134 Reassigns benefits to 1 organization
Practice locations: Chicago, IL

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Thorek Memorial HospitalGroup PAC ID 4981593399, 49 clinicians

Practice addresses (Care Compare)

850 W Irving Park Rd
Chicago, IL 60613-3077

Hospital & facility affiliations

  • Covenant Home Health Care, Inc Home health agency, Evanston, IL, CCN 148079
  • Thorek Memorial Hospital Hospital, Chicago, IL, CCN 140115

Merit-based Incentive Payment System (MIPS)

Final score
81.04 of 100Reported as group
Quality
53.2
Promoting interoperability
89
Improvement activities
40
Cost
76.1

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Thorek Memorial Hospital CurrentSince Oct 7, 1992 Accepting new patients
Thorek Memorial Hospital CurrentSince Oct 7, 1992 Accepting new patients
Wellcare Health PLLC PastSince Aug 28, 2022 Accepting new patients

Locations

840 W Irving Park Rd
Ste 305
Chicago, IL 60613
Phone (773) 975-6775

Organizations & group practices 3

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.

Hospital & facility affiliations 2

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": "1169510400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1382659200000",
    "number": "1093869141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "818 LEYDEN LN",
            "city": "WILMETTE",
            "state": "IL",
            "postal_code": "600912159",
            "telephone_number": "847-853-7981",
            "fax_number": "773-404-0713"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "840 W IRVING PARK RD STE 206",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606133011",
            "telephone_number": "773-975-6825",
            "fax_number": "773-404-0713"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRUZ",
        "first_name": "ELIZABETH",
        "middle_name": "M.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-23",
        "last_updated": "2013-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036085454",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036085454",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "335251",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.