Individual provider Active NPI

Ricardo Cruz, D.O.

  • Family Medicine Physician
  • Las Vegas, NV
National Provider Identifier
1104236215
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
SL1001 Issued in NV
Practice address
888 S Rancho Dr
Las Vegas, NV 89106-3810
Phone
(702) 877-8600
NPI assigned
Apr 29, 2014
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X DO2056 NV
Family Medicine Physician 207Q00000X SL1001 NV Primary

Addresses

Primary practice location

888 S Rancho Dr
Las Vegas, NV 89106-3810

Mailing address

PO Box 35380
Las Vegas, NV 89133-5380
Phone (702) 579-3270

Other practice location 1

620 Shadow Lane
Las Vegas, NV 89106-4194
Phone (702) 388-8436

Other identifiers 1

IdentifierTypeStateIssuer
V52025OtherNVSMA MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV
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
I20170810003673 NV Practitioner - Family Practice 2466779434 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Touro Un Col of Osteopathic Medicine, Henderson, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Julie Wu IncGroup PAC ID 8628163201, 7 clinicians

Practice addresses (Care Compare)

3750 S Jones Blvd
Suite 120
Las Vegas, NV 89103-2209
Phone (702) 434-8880

Hospital & facility affiliations

  • Comprehensive Hospice Care LLC Hospice, Las Vegas, NV, CCN 291571
  • Family Comfort Care LLC Hospice, Las Vegas, NV, CCN 291713

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
DO2056NVMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Southwest Medical Associates, Inc CurrentSince Jul 24, 2017 Accepting new patients
Optum Medical Group II Rhodes P C CurrentSince Jun 12, 2019 Accepting new patients
University Medical Center of Southern Nevada CurrentSince May 3, 2023 Accepting new patients
Julie Wu, Inc CurrentSince Jun 29, 2024 Accepting new patients
University Medical Center of Southern Nevada CurrentSince May 3, 2023 Accepting new patients
Optum Medical Group Rhodes P C Current Accepting new patients
Dignity Health Past Accepting new patients
Southern Hills Medical Center, LLC Past Accepting new patients
Centennial Hills Hospital Medical Center Past Accepting new patients
Sunrise Mountainview Hospital, Inc. Past Accepting new patients
Healthcare Partners Medical Group (Coats) LTD. Past Accepting new patients
Desert Springs Hospital Past Accepting new patients
Ming-Wei Wu, Inc Past Accepting new patients

Locations

3750 S Jones Blvd
Ste 120
Las Vegas, NV 89103
Phone (702) 291-8828

2316 W Charleston Blvd
Las Vegas, NV 89102
Phone (702) 877-8330

420 N Nellis Blvd
Las Vegas, NV 89110
Phone (702) 339-5710

1800 W Charleston Blvd
Las Vegas, NV 89102
Phone (702) 207-8253

888 S Rancho Dr
Las Vegas, NV 89106
Phone (702) 877-5375

2995 S Jones Blvd
Ste A
Las Vegas, NV 89146
Phone (702) 227-0005

620 Shadow Ln
Las Vegas, NV 89106
Phone (702) 388-4506

4040 N Martin L King Blvd
Ste A
North Las Vegas, NV 89032
Phone (702) 644-4673

3830 W Ann Rd
Ste 120
North Las Vegas, NV 89031

3830 W Ann Rd
North Las Vegas, NV 89031

Organizations & group practices 13

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.

View all 13

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": "1398729600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1104236215",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 35380",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891335380",
            "telephone_number": "702-579-3270",
            "fax_number": "702-242-1535"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "888 S RANCHO DR",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891063810",
            "telephone_number": "702-877-8600"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "620 Shadow Lane",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891064194",
            "country_code": "US",
            "telephone_number": "702-388-8436",
            "fax_number": "702-388-8431",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CRUZ",
        "first_name": "RICARDO",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-04-29",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NV",
            "license": "DO2056",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NV",
            "license": "SL1001",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SMA MEDICARE",
            "identifier": "V52025",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.