Nidsa I Martir Cruz, MD

Primary specialty

Neurology PhysicianTaxonomy code 2084N0400X

License

ME63164 Issued in FL

Practice address

26540 Ace Ave Ste H103
Leesburg, FL 34748-8279

Phone

(352) 323-0888

Fax

(352) 323-9103

NPI assigned

Jul 11, 2006

Last updated

Jun 14, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

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

Specialty

Neurology

Education

Other, 1980

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Hospital & facility affiliations

• Pinnacle Home Care of the Villages Inc Home health agency, The Villages, FL, CCN 109702
• Uf Health Leesburg Hospital Hospital, Leesburg, FL, CCN 100084

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• Nidsa I Martir Cruz MD PA

  • Neurology Physician
  • Leesburg, FL
  • NPI 1356659502
  Medicare reassignment Authorized official
• Dante V Nuzzo MD PA

  • Internal Medicine Physician
  • Leesburg, FL
  • NPI 1134437239
  NPD

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

• Leesburg Regional Medical Center Inc

  dba Uf Health Emergency/Urgent Care Eustis Mt. Dora

  • Urgent Care Clinic/Center
  • Leesburg, FL
  • NPI 1245001189

  Hospital

  Care Compare affiliation
• Leesburg Regional Medical Center Inc

  • General Acute Care Hospital
  • Leesburg, FL
  • NPI 1245226190
  Care Compare affiliation
• LRMC Urgent Care Center

  • Urgent Care Clinic/Center
  • Leesburg, FL
  • NPI 1598841389

  Hospital

  Care Compare affiliation
• Pinnacle Home Care of the Villages LLC

  • Home Health Agency
  • The Villages, FL
  • NPI 1982933321
  Care Compare affiliation

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

{
    "created_epoch": "1152576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718323200000",
    "number": "1346275369",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27615 HWY 27",
            "address_2": "SUITE 109 #308",
            "city": "LEESBURG",
            "state": "FL",
            "postal_code": "347499396",
            "telephone_number": "352-323-0888",
            "fax_number": "352-323-9103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26540 ACE AVE STE H103",
            "city": "LEESBURG",
            "state": "FL",
            "postal_code": "347488279",
            "telephone_number": "352-323-0888",
            "fax_number": "352-323-9103"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTIR CRUZ",
        "first_name": "NIDSA",
        "middle_name": "I",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-11",
        "last_updated": "2024-06-14",
        "certification_date": "2024-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "FL",
            "license": "ME63164",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "371597300",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "130012170",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Frazier J Marshall
• Coburn Arthur Marston, PT
• Adrienne Martin
• Alisha Martin, PHARMD
• Ashley Shamsa Martin
• Linda Marts
• Marty R Leggett OD PA
• Brijesh Suresh Maru, BPHARM,MS
• Isabella C Marulanda, LMHC
• Mary Ann Tesalona MD Corp

• Neurology Physician in Leesburg, FL
• Providers in Leesburg, FL by specialty
• Neurology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.