Individual provider Active NPI

Elvin Josel Cruz-Zeno, MD

  • Anesthesiology Physician
  • Dallas, TX
National Provider Identifier
1306824636
Registry record updated Jun 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
M4015 Issued in TX
Practice address
12222 Merit Dr Ste 600
Dallas, TX 75251-3294
Phone
(972) 715-5000
Fax
(972) 715-9976
NPI assigned
Jan 6, 2006
Last updated
Jun 21, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 21, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 01056812A IN
Anesthesiology Physician 207L00000X M4015 TX Primary

Addresses

Primary practice location

12222 Merit Dr Ste 600
Dallas, TX 75251-3294

Mailing address

PO Box 840853
Dallas, TX 75284-0853
Phone (972) 233-1999

Other practice location 1

1100 Wilford Hall Loop, Bldg 4554
Attn: 59 MDW/SGHC
JBSA Lackland, TX 78236
Phone (210) 292-6225

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, FL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20070209000168 TX Practitioner - Anesthesiology 3971505694 Reassigns benefits to 6 organizations
I20220811001376 FL Practitioner - Anesthesiology 3971505694 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
01056812AINMDAnesthesiology Physician
M4015TXMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Anesthesia Physician Solutions of South Florida, LLC Anesthesiology Current Accepting new patients
Tejas Anesthesia PLLC Anesthesiology CurrentSince Jun 30, 2022 Accepting new patients
Emergenchealth PLLC Anesthesiology CurrentSince Dec 1, 2025 Accepting new patients
Sheridan Healthcorp, Inc. Anesthesiology CurrentSince Aug 4, 2022 Accepting new patients
U S Anesthesia Partners of Texas, PA Anesthesiology CurrentSince Jun 6, 2022 Accepting new patients
Anesthesia Physician Solutions of North Florida, LLC Anesthesiology CurrentSince Oct 1, 2022 Accepting new patients
Sheridan Healthcorp Inc Anesthesiology Current Accepting new patients
U. S. Anesthesia Partners of Texas, P.a., Anesthesiology CurrentSince Jun 6, 2022 Accepting new patients
Northstar Anesthesia II PA Anesthesiology CurrentSince Jan 28, 2018 Accepting new patients
Anesthesia Physician Solutions of South Florida, LLC Anesthesiology CurrentSince Oct 1, 2022 Accepting new patients
Anesthesia Physician Solutions of North Florida, LLC Anesthesiology Current Accepting new patients
Anesthesia Physician Solutions of North Florida, LLC Anesthesiology CurrentSince Oct 1, 2022 Accepting new patients
Sheridan Healthcorp Inc Anesthesiology CurrentSince Aug 4, 2022 Accepting new patients
Northstar Anesthesia, PA Anesthesiology CurrentSince Jan 28, 2018 Accepting new patients
New Jersey Healthcare Specialists PC Anesthesiology CurrentSince Jun 1, 2024 Accepting new patients
Tejas Anesthesia PLLC Anesthesiology CurrentSince Jun 30, 2022 Accepting new patients
Anesthesia Physician Solutions of South Florida, LLC Anesthesiology CurrentSince Oct 1, 2022 Accepting new patients

Locations (25 of 32)

1000 Mar Walt Dr
Ft Walton Bch, FL 32547
Phone (850) 374-9610

2275 N Central Ave
Kissimmee, FL 34741
Phone (407) 570-0573

5301 S Congress Ave
Lantana, FL 33462
Phone (561) 548-3549

4600 SW 46th Ct
Ocala, FL 34474
Phone (352) 291-3000

1500 SW 1st Ave
Ocala, FL 34471
Phone (352) 351-7500

1600 SE 17th St
Ocala, FL 34471
Phone (615) 240-3720

1431 SW 1st Ave
Ocala, FL 34471
Phone (352) 401-1425

1796 US Highway 441 N
Okeechobee, FL 34972
Phone (863) 467-5222

401 NW 42nd Ave
Plantation, FL 33317
Phone (954) 513-6434

325 Cypress Pkwy
Poinciana, FL 34759
Phone (407) 530-2000

1800 SE Tiffany Ave
Port St Lucie, FL 34952
Phone (772) 398-1969

460 N State Road 7
Royal Palm Beach, FL 33411
Phone (561) 792-7333

1613 NW 136th Ave
Ste 200
Sunrise, FL 33323
Phone (954) 838-2502

7201 N University Dr
Tamarac, FL 33321
Phone (954) 721-2200

65 James St
Edison, NJ 08820
Phone (732) 321-7010

30 Prospect Ave
Hackensack, NJ 07601
Phone (201) 488-0066

14425 Falcon Head Blvd
#11
Austin, TX 78738
Phone (512) 900-1006

3080 College St
#T
Beaumont, TX 77701
Phone (409) 212-5002

11801 South Fwy
Burleson, TX 76028
Phone (817) 551-2738

12222 Merit Dr
Ste 600
Dallas, TX 75251
Phone (972) 361-1844

909 9th Ave
Ft Worth, TX 76104
Phone (817) 336-6060

6949 Bryant Irvin Rd
Ste 110
Ft Worth, TX 76132
Phone (817) 332-1818

1917 Ashland St
Houston, TX 77008
Phone (713) 861-6161

6800 N MacArthur Blvd
Irving, TX 75039
Phone (972) 969-2000

2240 Gulf Fwy S
League City, TX 77573
Phone (832) 505-1000

Organizations & group practices 18

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 18

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1136505600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655769600000",
    "number": "1306824636",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 840853",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752840853",
            "telephone_number": "972-233-1999",
            "fax_number": "972-233-3666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12222 MERIT DR STE 600",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752513294",
            "telephone_number": "972-715-5000",
            "fax_number": "972-715-9976"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1100 Wilford Hall Loop, Bldg 4554",
            "address_2": "ATTN: 59 MDW/SGHC",
            "address_purpose": "LOCATION",
            "city": "JBSA Lackland",
            "state": "TX",
            "postal_code": "78236",
            "country_code": "US",
            "telephone_number": "210-292-6225",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CRUZ-ZENO",
        "first_name": "ELVIN",
        "middle_name": "JOSEL",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-06",
        "last_updated": "2022-06-21",
        "certification_date": "2022-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "IN",
            "license": "01056812A",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "TX",
            "license": "M4015",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.