Individual provider Active NPI

Gelsimo A Cruz, MD

  • Internal Medicine Physician
  • Glen Burnie, MD
National Provider Identifier
1265509277
Registry record updated Jul 28, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
D0018126 Issued in MD
Practice address
300 Hospital Drive
Suite 230
Glen Burnie, MD 21061-5707
Phone
(410) 279-3550
Fax
(410) 768-2701
NPI assigned
Nov 29, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2009

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X D0018126 MD Primary
Gastroenterology Physician 207RG0100X D0018126 MD

Addresses

Primary practice location

300 Hospital Drive
Suite 230
Glen Burnie, MD 21061-5707

Mailing address

300 Hospital Drive
Suite 230
Glen Burnie, MD 21061-5707
Phone (410) 279-3550

Other identifiers 1

IdentifierTypeStateIssuer
186161100MedicaidMD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
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 1

Enrollment IDStateProvider typePAC IDDetails
I20090603000270 MD Practitioner - GastroenterologyPractitioner - Internal Medicine 5698825271 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
GastroenterologyAlso: Internal Medicine
Education
Other, 1967
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

300 Hospital Dr
Suite 230
Glen Burnie, MD 21061-5707
Phone (410) 768-2700

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy47
Upper gastrointestinal (GI) endoscopy for acid reflux46

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
D0018126MDMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Gelsimo a. Cruz, M.D. P.a. Gastroenterology CurrentSince Jan 1, 1975 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

300 Hospital Dr
Ste 230
Glen Burnie, MD 21061
Phone (410) 768-2700

8028 Ritchie Hwy
Ste 142
Pasadena, MD 21122
Phone (410) 590-8920

Interoperability endpoints

  • Direct secure messaging: gcruz20814@direct.umm.edu

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": "1164758400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1248739200000",
    "number": "1265509277",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 HOSPITAL DRIVE",
            "address_2": "SUITE 230",
            "city": "GLEN BURNIE",
            "state": "MD",
            "postal_code": "210615707",
            "telephone_number": "410-279-3550",
            "fax_number": "410-768-2701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 HOSPITAL DRIVE",
            "address_2": "SUITE 230",
            "city": "GLEN BURNIE",
            "state": "MD",
            "postal_code": "210615707",
            "telephone_number": "410-279-3550",
            "fax_number": "410-768-2701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRUZ",
        "first_name": "GELSIMO",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-29",
        "last_updated": "2009-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MD",
            "license": "D0018126",
            "primary": true
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "MD",
            "license": "D0018126",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "186161100",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Glen Burnie, MD

Sources for this page

Verify at the official NPI Registry.