Individual provider Active NPI

Cesar Isaac Cruz Aguilar, M.D.

  • Clinical Cardiac Electrophysiology Physician
  • Woodstock, GA
National Provider Identifier
1144407198
Registry record updated Oct 28, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Cardiac Electrophysiology PhysicianTaxonomy code 207RC0001X
License
67550 Issued in GA
Practice address
900 Towne Lake Pkwy
Ste 400
Woodstock, GA 30189-1602
Phone
(770) 924-5095
Fax
(770) 924-7429
NPI assigned
Jan 22, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Cardiac Electrophysiology Physician 207RC0001X 67550 GA Primary
Cardiovascular Disease Physician 207RC0000X 67550 GA

Addresses

Primary practice location

900 Towne Lake Pkwy
Ste 400
Woodstock, GA 30189-1602

Mailing address

900 Towne Lake Pkwy
Ste 400
Woodstock, GA 30189-1602
Phone (770) 924-5095

Other identifiers 3

IdentifierTypeStateIssuer
003137201DMedicaidGA
003137201EMedicaidGA
003148597AMedicaidGA

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address NorthsideHeart@Northside.gwaydirect.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
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
I20130827000277 GA Practitioner - Cardiac ElectrophysiologyPractitioner - Cardiovascular Disease (Cardiology) 5991948705 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiac ElectrophysiologyAlso: Cardiovascular Disease (Cardiology)
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Northside Cardiovascular Professional Services, LLCGroup PAC ID 9739189838, 143 clinicians

Practice addresses (Care Compare)

900 Towne Lake Pkwy
Suite 400
Woodstock, GA 30189-1604
Phone (770) 924-5095

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
77.82 of 100Reported as group
Quality
67.82
Promoting interoperability
77
Improvement activities
40
Cost
77.43

Procedures performed for Medicare patients

ProcedureNumber of procedures
Pacemaker insertion or repair56

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Northside Cardiovascular Professional Services, LLC Cardiovascular Disease CurrentSince Jul 1, 2014 Accepting new patients

Locations

460 Northside Cherokee Blvd
Ste 430
Canton, GA 30115
Phone (678) 493-2527

1285 Upper Hembree Rd
Roswell, GA 30076
Phone (770) 343-8565

3000 Hospital Blvd
Roswell, GA 30076
Phone (770) 751-2500

1000 Johnson Ferry Rd
Sandy Springs, GA 30342
Phone (404) 851-8737

5670 Peachtree Dunwoody Rd
Ste 880
Sandy Springs, GA 30342

900 Towne Lake Pkwy
Ste 400
Woodstock, GA 30189
Phone (770) 721-3975

Organizations & group practices 1

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 4

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": "1200960000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603843200000",
    "number": "1144407198",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 TOWNE LAKE PKWY",
            "address_2": "STE 400",
            "city": "WOODSTOCK",
            "state": "GA",
            "postal_code": "301891602",
            "telephone_number": "770-924-5095",
            "fax_number": "770-924-7429"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 TOWNE LAKE PKWY",
            "address_2": "STE 400",
            "city": "WOODSTOCK",
            "state": "GA",
            "postal_code": "301891602",
            "telephone_number": "770-924-5095",
            "fax_number": "770-924-7429"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRUZ AGUILAR",
        "first_name": "CESAR",
        "middle_name": "ISAAC",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-01-22",
        "last_updated": "2020-10-28",
        "certification_date": "2020-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Clinical Cardiac Electrophysiology",
            "state": "GA",
            "license": "67550",
            "primary": true
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "GA",
            "license": "67550",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003137201D",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003137201E",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003148597A",
            "state": "GA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "NorthsideHeart@Northside.gwaydirect.com",
            "affiliation": "N",
            "endpointDescription": "Direct Messaging",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Direct Edge",
            "address_1": "900 Towne Lake Pkwy",
            "address_2": "Ste 400",
            "city": "Woodstock",
            "state": "GA",
            "country_code": "US",
            "postal_code": "301891602",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Woodstock, GA

Sources for this page

Verify at the official NPI Registry.