Arvind Alex D'Cruz, M.D.,M.R.C.P.(U.K)

Primary specialty

Neurology PhysicianTaxonomy code 2084N0400X

License

ME108655 Issued in FL

Practice address

951 N Washington Ave
PMG. Hospitalist.Neurology Dept
Titusville, FL 32796-2163

Phone

(321) 268-6111

Fax

(321) 268-6360

NPI assigned

May 24, 2005

Reactivated

Mar 23, 2006

Last updated

Mar 17, 2018By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 4

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in WI, FL2 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

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.

• North Brevard Medical Support, Inc

  dba Parrish Medical Group

  • Multi-Specialty Clinic/Center
  • Titusville, FL
  • NPI 1609834886
  Medicare reassignment NPD
• Froedtert &the Medical College of Wisconsin Community Physicians, Inc.

  • Internal Medicine Physician
  • Menomonee Falls, WI
  • NPI 1568787448
  Medicare reassignment NPD
• Froedtert &the Medical College of Wisconsin Community Physicians, Inc.

  • Durable Medical Equipment & Medical Supplies
  • Wauwatosa, WI
  • NPI 1154947224
  NPD
• Covenant Medical Group

  • Family Medicine Physician
  • Lubbock, TX
  • NPI 1376598904

  Hospitalist

  NPD (past)
• Covenant Medical Group

  dba Covenant Family Healthcare Center

  • Rural Health Clinic/Center
  • Abernathy, TX
  • NPI 1538412895
  NPD (past)
• Lubbock Neurology, PLLC

  • Neurology Physician
  • Lubbock, TX
  • NPI 1225225568

  Diagnostic Neuroimaging

  NPD (past)

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

{
    "created_epoch": "1116892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1154324986",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "805 CENTURY MEDICAL DR",
            "address_2": "SUITE C",
            "city": "TITUSVILLE",
            "state": "FL",
            "postal_code": "327962100",
            "telephone_number": "321-268-6111",
            "fax_number": "321-268-6273"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "951 N WASHINGTON AVE",
            "address_2": "PMG. HOSPITALIST.NEUROLOGY DEPT",
            "city": "TITUSVILLE",
            "state": "FL",
            "postal_code": "327962163",
            "telephone_number": "321-268-6111",
            "fax_number": "321-268-6360"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "250 Harrison St",
            "address_purpose": "LOCATION",
            "city": "Titusville",
            "state": "FL",
            "postal_code": "327805026",
            "country_code": "US",
            "telephone_number": "321-267-1424",
            "fax_number": "321-267-2713",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "390 Challenger Rd",
            "address_purpose": "LOCATION",
            "city": "Cape Canaveral",
            "state": "FL",
            "postal_code": "329204200",
            "country_code": "US",
            "telephone_number": "321-633-8640",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "D'CRUZ",
        "first_name": "ARVIND",
        "middle_name": "ALEX",
        "name_prefix": "Dr.",
        "credential": "M.D.,M.R.C.P.(U.K)",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-05-24",
        "last_updated": "2018-03-17",
        "deactivation_date": "2006-03-16",
        "reactivation_date": "2006-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "FL",
            "license": "ME108655",
            "primary": true
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "FL",
            "license": "ME108655",
            "primary": false
        },
        {
            "code": "2084S0012X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Sleep Medicine",
            "state": "FL",
            "license": "ME108655",
            "primary": false
        },
        {
            "code": "2084D0003X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Diagnostic Neuroimaging",
            "state": "FL",
            "license": "ME108655",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004445800",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Augusto Cruz Garcia, M.D.
• Crystal Clear Counseling, PLLC
• Destiny Michelle Culbertson
• Melini Curtis, SLP
• Radoslaw Jakub Czajkowski, M.D.
• Therese B Dahl, OD
• Daly Chiropractic & Wellness Center Inc
• Daly Integrated Medical Group, LLC
• David Gary Daly, D.C.
• Finneran Jackson Woo Daly, LAC

• Neurology Physician in Titusville, FL
• Providers in Titusville, FL by specialty
• Neurology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.