Individual provider Active NPI

Bayoan D Martinez-Cruz, MD

  • Internal Medicine Physician
  • The Villages, FL
National Provider Identifier
1316937501
Registry record updated Apr 17, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME94977 Issued in FL
Practice address
11950 County Road 101
Ste 206
The Villages, FL 32162-9334
Phone
(352) 750-6650
Fax
(352) 750-6651
NPI assigned
Oct 27, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X ME94977 FL Primary

Addresses

Primary practice location

11950 County Road 101
Ste 206
The Villages, FL 32162-9334

Mailing address

11950 County Road 101
Ste 206
The Villages, FL 32162-9334
Phone (352) 750-6650

Other identifiers 1

IdentifierTypeStateIssuer
279919700MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20080103000299 FL Practitioner - Internal Medicine 0547245391 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1987
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Cora Health Services IncGroup PAC ID 1759290992, shared by 21 NPIs, 1,125 clinicians
Legacy Healthcare Services IncGroup PAC ID 2163339722, shared by 46 NPIs, 3,431 clinicians

Practice addresses (Care Compare)

1050 Old Camp Rd
The Villages, FL 32162-1762
Phone (352) 693-3378

1550 Killingsworth Way
The Villages, FL 32162-2175
Phone (352) 633-2971

741 Hwy 466
Lady Lake, FL 32159-6340
Phone (352) 750-6650

8768 SE 165TH Mulberry LN
The Villages, FL 32162-5861
Phone (352) 329-5237

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10
Removal of skin lesions1-10
Removal of nail tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME94977FLMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Martinez Cruz Medical Associates of the Villages LLC Internal Medicine CurrentSince Apr 1, 2013 Accepting new patients
Florida Medical Associates LLC CurrentSince Sep 17, 2012 Accepting new patients

Locations

13940 N US Highway 441
Ste 102
Lady Lake, FL 32159
Phone (352) 509-9900

741 Highway 466
Lady Lake, FL 32159
Phone (352) 728-3898

2955 SE 3rd Ct
Ste B
Ocala, FL 34471
Phone (352) 509-9900

601 S Harbour Island Blvd
Ste 200
Tampa, FL 33602
Phone (727) 322-3439

11950 County Road 101
Ste 206
The Villages, FL 32162
Phone (352) 750-6650

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.

Hospital & facility affiliations 4

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": "1130371200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1366156800000",
    "number": "1316937501",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11950 COUNTY ROAD 101",
            "address_2": "STE 206",
            "city": "THE VILLAGES",
            "state": "FL",
            "postal_code": "321629334",
            "telephone_number": "352-750-6650",
            "fax_number": "352-750-6651"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11950 COUNTY ROAD 101",
            "address_2": "STE 206",
            "city": "THE VILLAGES",
            "state": "FL",
            "postal_code": "321629334",
            "telephone_number": "352-750-6650",
            "fax_number": "352-750-6651"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTINEZ-CRUZ",
        "first_name": "BAYOAN",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-27",
        "last_updated": "2013-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME94977",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "279919700",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in The Villages, FL

Sources for this page

Verify at the official NPI Registry.