Active NPI
Mariana Vigiola Cruz, MD
- Trauma Surgery Physician
- Lake Forest, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Trauma Surgery Physician
- License
- D0101830
- Practice address
- 800 N Westmoreland Rd Ste 100
Lake Forest, IL 60045-1671 - Phone
- (847) 535-7208
- NPI assigned
- Apr 30, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Trauma Surgery Physician | 2086S0127X | D0101830 | MD | Primary |
| Surgery Physician | 208600000X | 297702-1 | NY | |
| Surgery Physician | 208600000X | 036153330 | IL | |
| Surgery Physician | 208600000X | M-2253 | GU | |
| Trauma Surgery Physician | 2086S0127X | 036153330 | IL |
Addresses
Primary practice location
800 N Westmoreland Rd Ste 100
Lake Forest, IL 60045-1671
Mailing address
800 N Westmoreland Rd Ste 100
Lake Forest, IL 60045-1671
Phone (847) 535-7208
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | https://www.nm.org/doctors/1104184944/mariana-vigiola-cruz-md |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GU, MD, DC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- General Surgery
- Education
- Other, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1145 19TH St NW
311 MMG at 19TH Street NW
Washington, DC 20036-3735
Phone (202) 429-2401
3007 Tilden St NW
Suite 5N
Washington, DC 20008-3030
7501 Surratts Rd
Clinton, MD 20735-3362
Phone (301) 877-7353
7503 Surratts Rd
Clinton, MD 20735-3358
Phone (301) 868-8000
Hospital & facility affiliations
- Medstar Southern Maryland Hospital Center
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Hernia repair (minimally invasive) | 1-10 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 1-10 |
| Removal of tissue | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 297702 | NY | MD | Licensed Practical Nurse |
| M-2253 | GU | MD | Surgery Physician |
| 297702-1 | NY | MD | Surgery Physician |
| 036153330 | IL | MD | Trauma Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Guam Healthcare Development Incorporated | Current | Accepting new patients | |
| St Agnes Healthcare Inc | Surgery | Current | Accepting new patients |
| Medstar Medical Group II LLC | Current | Accepting new patients | |
| St Agnes Healthcare Inc | Current | Accepting new patients | |
| Medstar Medical Group II LLC | Current | Accepting new patients | |
| Medstar Medical Group II LLC | Past | Accepting new patients |
Locations
1145 19th St NW
Ste 311
Washington, DC 20036
Phone (202) 429-2401
133 Route 3
Dededo, GU 96929
Phone (671) 645-5500
3407 Wilkens Ave
Ste 410
Baltimore, MD 21229
Phone (443) 574-8500
900 S Caton Ave
Baltimore, MD 21229
Phone (410) 368-3120
3585 Washington Blvd
Halethorpe, MD 21227
Organizations & group practices 6
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.
-
- Clinic/Center
- Dededo, GU
- NPI 1326447939
-
- Emergency Medical Services (Emergency Medicine) Physician
- Washington, DC
- NPI 1558189712
-
- Diagnostic Radiology Physician
- Baltimore, MD
- NPI 1780615922
-
- Internal Medicine Physician
- Washington, DC
- NPI 1376887844
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Clinton, MD
- NPI 1366790693
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1335744000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1755734400000",
"number": "1104184944",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "800 N WESTMORELAND RD STE 100",
"city": "LAKE FOREST",
"state": "IL",
"postal_code": "600451671",
"telephone_number": "847-535-7208",
"fax_number": "224-271-4600"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "800 N WESTMORELAND RD STE 100",
"city": "LAKE FOREST",
"state": "IL",
"postal_code": "600451671",
"telephone_number": "847-535-7208"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VIGIOLA CRUZ",
"first_name": "MARIANA",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-04-30",
"last_updated": "2025-08-21",
"certification_date": "2025-08-21",
"status": "A"
},
"taxonomies": [
{
"code": "2086S0127X",
"taxonomy_group": "",
"desc": "Surgery, Trauma Surgery",
"state": "MD",
"license": "D0101830",
"primary": true
},
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "NY",
"license": "297702-1",
"primary": false
},
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "IL",
"license": "036153330",
"primary": false
},
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "GU",
"license": "M-2253",
"primary": false
},
{
"code": "2086S0127X",
"taxonomy_group": "",
"desc": "Surgery, Trauma Surgery",
"state": "IL",
"license": "036153330",
"primary": false
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "https://www.nm.org/doctors/1104184944/mariana-vigiola-cruz-md",
"affiliation": "N",
"address_1": "800 N Westmoreland Rd Ste 100",
"city": "Lake Forest",
"state": "IL",
"country_code": "US",
"postal_code": "600451671",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Lake Forest, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2025; 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.