Individual provider Active NPI

Carlos Alberto Cruz, M.D.

  • Pediatrics Physician
  • Alexandria, VA
National Provider Identifier
1265452338
Registry record updated Jun 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
0101233315 Issued in VA
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

Updated by the provider on Jun 26, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
010204569MedicaidVA

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

LicenseStateTypeSpecialty
0101233315VAMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Carlos a. Cruz, MD, PC Pediatrics Past Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: carlos.cruz.1@12587.direct.athenahealth.com
  • FHIR API: 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.

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.

Verify at the official NPI Registry.