Michael W Cruz, MD
Individual provider Active NPI Surgery Physician · Tamuning, GU
NPI 1164552022 · NPPES record last updated Dec 19, 2018
Key facts
- NPI
- 1164552022
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Surgery Physician 208600000X
- License
- M-992 (GU)
- Practice address
- 171 Farenholt Ave
Tamuning, GU 96913-3207 - Phone
- (671) 646-0443
- Fax
- (671) 646-0440
- NPI assigned
- Mar 7, 2007
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 4
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- General Surgery
- Education
- Loma Linda University School of Medicine, 1984
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Guam Healthcare Development Incorporated
Guam X-Ray
Practice addresses (Care Compare)
133 Route 3
Dededo, GU 96929-6911
Phone (671) 645-5500
633 Gov Carlos Camacho Rd
Suite 210
Tamuning, GU 96913
Phone (671) 649-1001
Hospital & facility affiliations
- Guam Regional Medical City
Merit-based Incentive Payment System (MIPS)
- Final score
- 65.1 of 100
- Quality
- 100
- Promoting interoperability
- 0
- Improvement activities
- 30
- Cost
- 79.51
Merit-based Incentive Payment System (MIPS)
- Final score
- 79.22 of 100
- Quality
- 78.84
- Improvement activities
- 40
- Cost
- 61.61
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 21 |
| Mastectomy | 1-10 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 1-10 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in GU
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040622000441 | GU | Practitioner - General Surgery |
8921083197 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Island Surgical Center, P.C. | Surgery | Current |
Accepting new patients |
| Guam X-Ray | Current |
Accepting new patients | |
| Guam Healthcare Development Incorporated | Current |
Accepting new patients |
Locations
133 Route 3
Dededo, GU 96929
Phone (671) 645-5500
171 Farenholt Ave
Tamuning, GU 96913
Phone (671) 646-0441
633 Gov Carlos G Camacho Rd
Ste 210
Tamuning, GU 96913
Phone (671) 649-1001
850 Gov Carlos G Camacho Rd
#R
Tamuning, GU 96913
Phone (671) 647-2552
633 Gov Carlos G Camacho Rd
Ste 202
Tamuning, GU 96913
Phone (671) 646-0443
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | M-992 | GU | Yes |
Addresses
Primary practice location
171 Farenholt Ave
Tamuning, GU 96913-3207
Mailing address
171 Farenholt Ave
Tamuning, GU 96913-3207
Phone (671) 646-0443
Other practice location 1
133 Route 3
Dededo, GU 96929-6911
Phone (671) 645-5500
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 56663 | Other | PIN |
Other providers in Tamuning, GU
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 19, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.