Active NPI
Christopher S Cruz, M.D.
- Internal Medicine Physician
- Las Vegas, NV
National Provider Identifier
1295792182
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 10545
- Practice address
- 5450 W Sahara Ave
Suite 130
Las Vegas, NV 89146-0380 - Phone
- (702) 220-9667
- Fax
- (702) 220-5277
- NPI assigned
- Apr 26, 2006
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 10545 | NV | Primary |
Addresses
Primary practice location
5450 W Sahara Ave
Suite 130
Las Vegas, NV 89146-0380
Mailing address
PO Box 28971
Las Vegas, NV 89126-2971
Phone (702) 220-9667
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2102749 | Medicaid | NV |
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10545 | NV | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Spring Valley Medical Center | Past | Accepting new patients | |
| Sunrise Mountainview Hospital, Inc. | Past | Accepting new patients | |
| Sunrise Hospital and Medical Center, LLC | Past | Accepting new patients |
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/HECCBA/Endpoint/HECCBA
Organizations & group practices 3
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.
-
- General Acute Care Hospital
- Las Vegas, NV
- NPI 1346230323
-
- General Acute Care Hospital
- Las Vegas, NV
- NPI 1689611774
-
- General Acute Care Hospital
- Las Vegas, NV
- NPI 1831143817
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146009600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1378252800000",
"number": "1295792182",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 28971",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891262971",
"telephone_number": "702-220-9667",
"fax_number": "702-220-5277"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5450 W SAHARA AVE",
"address_2": "SUITE 130",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891460380",
"telephone_number": "702-220-9667",
"fax_number": "702-220-5277"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CRUZ",
"first_name": "CHRISTOPHER",
"middle_name": "S",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-04-26",
"last_updated": "2013-09-04",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NV",
"license": "10545",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2102749",
"state": "NV"
}
],
"endpoints": [],
"other_names": []
}Other providers in Las Vegas, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.