Active NPI
Carlos Alberto Cruz, M.D.
- Pediatrics Physician
- Alexandria, VA
National Provider Identifier
1265452338
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 0101233315
- Practice address
- 3327 Duke St
Alexandria, VA 22314-4597 - Phone
- (703) 824-0970
- Fax
- (703) 824-0972
- NPI assigned
- Jul 20, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 0101233315 | VA | Primary |
Addresses
Primary practice location
3327 Duke St
Alexandria, VA 22314-4597
Mailing address
6295 Timarron Cove LN
Burke, VA 22015-4076
Phone (571) 278-9340
Other practice location 1
10230 New Hampshire Ave Ste 205
Silver Spring, MD 20903-1423
Phone (301) 434-1096
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 010204569 | Medicaid | VA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0101233315 | VA | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Carlos a. Cruz, MD, PC | Pediatrics | Past | Accepting new patients |
| Frederick Health Hospital Inc | Past | Accepting new patients |
Interoperability endpoints
- carlos.cruz.1@12587.direct.athenahealth.com
- https://api.platform.athenahealth.com/12587/brand/1/csg/1/fhir/r4
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.
-
- Pediatrics Physician
- Alexandria, VA
- NPI 1205221942
-
dba Frederick Health Hospital
- General Acute Care Hospital
- Frederick, MD
- NPI 1538165527
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153353600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1782432000000",
"number": "1265452338",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6295 TIMARRON COVE LN",
"city": "BURKE",
"state": "VA",
"postal_code": "220154076",
"telephone_number": "571-278-9340"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3327 DUKE ST",
"city": "ALEXANDRIA",
"state": "VA",
"postal_code": "223144597",
"telephone_number": "703-824-0970",
"fax_number": "703-824-0972"
}
],
"practiceLocations": [
{
"address_1": "10230 New Hampshire Ave Ste 205",
"address_purpose": "LOCATION",
"city": "Silver Spring",
"state": "MD",
"postal_code": "209031423",
"country_code": "US",
"telephone_number": "301-434-1096",
"fax_number": "301-434-1098",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CRUZ",
"first_name": "CARLOS",
"middle_name": "ALBERTO",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-20",
"last_updated": "2026-06-26",
"certification_date": "2026-06-26",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "VA",
"license": "0101233315",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "010204569",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Alexandria, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.