Individual provider Active NPI

Fernando Michael Cruz, DPM

  • Foot Surgery Podiatrist
  • Corsicana, TX
National Provider Identifier
1205216751
Registry record updated Jan 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot Surgery PodiatristTaxonomy code 213ES0131X
License
2325 Issued in TX
Practice address
3229 W 7TH Ave
Corsicana, TX 75110
Phone
(903) 872-9910
Fax
(855) 874-7393
NPI assigned
May 30, 2015
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 28, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X 2325 TX
Foot Surgery Podiatrist 213ES0131X 2325 TX Primary

Addresses

Primary practice location

3229 W 7TH Ave
Corsicana, TX 75110

Mailing address

3229 W 7TH Ave
Corsicana, TX 75110-4817
Phone (903) 872-9910

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180621001706 TX Practitioner - Podiatry 8022363647 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Podiatric Medical Partners of Texas PAGroup PAC ID 2860544749, 18 clinicians

Practice addresses (Care Compare)

1505 W Jefferson St
Suite 170
Waxahachie, TX 75165-2203
Phone (972) 597-4132

5940 W Parker Rd
Suite 202
Plano, TX 75093-6404
Phone (972) 781-1970

601 S Clay St
Suite 105
Ennis, TX 75119-5771
Phone (903) 875-3368

801 N Zang Blvd
Suite 103
Dallas, TX 75208-4858
Phone (214) 330-9299

Hospital & facility affiliations

  • Baylor Scott & White Medical Center- Waxahachie Hospital, Waxahachie, TX, CCN 450372
  • Ennis Regional Medical Center Hospital, Ennis, TX, CCN 450833

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of tissue48
Removal of skin lesions1-10
Removal of nail tissue720
Removal or shaving of skin growth276
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2325TXMDFoot Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Podiatric Medical Partners of Texas, PA Foot & Ankle Surgery CurrentSince Jul 1, 2018 Accepting new patients
Podiatric Medical Partners of Texas, PA CurrentSince Jul 1, 2018 Accepting new patients

Locations

2625 Matlock Rd
Ste 103
Arlington, TX 76015
Phone (817) 466-8514

3229 W 7th Ave
Corsicana, TX 75110
Phone (903) 872-9910

6760 Abrams Rd
Ste 203
Dallas, TX 75231
Phone (214) 340-8885

2909 S Hampton Rd
Ste F132
Dallas, TX 75224
Phone (214) 330-9299

601 S Clay St
Ste 105
Ennis, TX 75119
Phone (903) 875-3368

5940 W Parker Rd
Ste 202
Plano, TX 75093
Phone (972) 781-1970

6900 Denton Hwy
Ste 111
Watauga, TX 76148
Phone (817) 427-2823

1505 W Jefferson St
Ste 170
Waxahachie, TX 75165
Phone (972) 597-4132

Interoperability endpoints

  • Direct secure messaging: noz6576@yourcarecommunity.org

Organizations & group practices 2

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 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": "1432944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611792000000",
    "number": "1205216751",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3229 W 7TH AVE",
            "city": "CORSICANA",
            "state": "TX",
            "postal_code": "751104817",
            "telephone_number": "903-872-9910",
            "fax_number": "855-874-7393"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3229 W 7TH AVE",
            "city": "CORSICANA",
            "state": "TX",
            "postal_code": "75110",
            "telephone_number": "903-872-9910",
            "fax_number": "855-874-7393"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRUZ",
        "first_name": "FERNANDO",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-05-30",
        "last_updated": "2021-01-28",
        "certification_date": "2021-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "TX",
            "license": "2325",
            "primary": false
        },
        {
            "code": "213ES0131X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot Surgery",
            "state": "TX",
            "license": "2325",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Corsicana, TX

Sources for this page

Verify at the official NPI Registry.