Individual provider Active NPI

Orlando Cruz, M.D.

  • Emergency Medicine Physician
  • Chicago, IL
National Provider Identifier
1316103013
Registry record updated Aug 1, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
125049711 Issued in IL
Practice address
1901 West Polk St.
Suite 1051
Chicago, IL 60612
Phone
(312) 864-0064
NPI assigned
Aug 1, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 125049711 IL Primary

Addresses

Primary practice location

1901 West Polk St.
Suite 1051
Chicago, IL 60612

Mailing address

1901 West Polk St.
10TH Floor
Chicago, IL 60612
Phone (312) 864-0064

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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
I20110325000248 IN Practitioner - Emergency Medicine 6406039601 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
University of Illinois College of Med (CHI/Peor/Rock/CHM-Urb), 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Emergency Professionals of Indiana PCGroup PAC ID 4183604150, 118 clinicians

Practice addresses (Care Compare)

102 E Culver Rd
Knox, IN 46534-2216
Phone (574) 772-6231

Hospital & facility affiliations

  • Sullivan County Community Hospital Hospital, Sullivan, IN, CCN 151327

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
125049711ILMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Concord Medical Group of Kentucky PLLC Emergency Medicine CurrentSince Dec 30, 2019 Accepting new patients
Concord Company of Tennessee PLLC Emergency Medicine CurrentSince May 1, 2024 Accepting new patients
Emergency Professionals of Indiana, P.C. Emergency Medicine CurrentSince Feb 14, 2025 Accepting new patients

Locations

3700 Washington Ave
Evansville, IN 47714
Phone (812) 232-0021

102 E Culver Rd
Knox, IN 46534
Phone (574) 772-1580

1400 E 9th St
Rochester, IN 46975
Phone (574) 223-2020

2200 N Section St
Sullivan, IN 47882
Phone (812) 268-6292

8885 State Road 237
Tell City, IN 47586
Phone (812) 547-0185

85 E US Highway 6
Valparaiso, IN 46383
Phone (219) 983-5743

1011 Old Highway 60
Hardinsburg, KY 40143
Phone (270) 756-7000

4604 US Highway 60 W
Morganfield, KY 42437
Phone (270) 389-5000

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1217548800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1217548800000",
    "number": "1316103013",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1901 WEST POLK ST.",
            "address_2": "10TH FLOOR",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "60612",
            "telephone_number": "312-864-0064"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1901 WEST POLK ST.",
            "address_2": "SUITE 1051",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "60612",
            "telephone_number": "312-864-0064"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRUZ",
        "first_name": "ORLANDO",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-08-01",
        "last_updated": "2008-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "IL",
            "license": "125049711",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.