Individual provider Active NPI

Ryan Michael Cruz, MD

  • Emergency Medicine Physician
  • San Antonio, TX
National Provider Identifier
1376920512
Registry record updated Jun 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
R6374 Issued in TX
Practice address
11503 NW Military Hwy
Suite # 202
San Antonio, TX 78231
Phone
(210) 233-6363
NPI assigned
Apr 27, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 4, 2024

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 R6374 TX Primary

Addresses

Primary practice location

11503 NW Military Hwy
Suite # 202
San Antonio, TX 78231

Mailing address

11503 NW Military Hwy
Suite # 202
San Antonio, TX 78231
Phone (210) 233-6363

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20180608001272 TX Practitioner - Emergency Medicine 2062784598 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R6374TXMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Emergency Medicine Services of TX, PLLC Emergency Medicine CurrentSince Apr 1, 2023 Accepting new patients
Greater San Antonio Emergency Physicians, PA Emergency Medicine PastSince Jun 9, 2024 Accepting new patients

Locations

134 Menger Spgs
Boerne, TX 78006
Phone (830) 331-3000

225 E Parkwood Ave
Friendswood, TX 77546
Phone (281) 549-9400

1850 State Highway 46 W
Ste 109
New Braunfels, TX 78132
Phone (210) 757-5850

11100 Shadow Creek Pkwy
Pearland, TX 77584
Phone (713) 770-7000

1139 E Sonterra Blvd
San Antonio, TX 78258
Phone (210) 638-2000

7700 Floyd Curl Dr
San Antonio, TX 78229
Phone (210) 575-5564

26306 Kuykendahl Rd
Tomball, TX 77375
Phone (346) 246-7700

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.

NPI Registry JSON

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

{
    "created_epoch": "1430092800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717459200000",
    "number": "1376920512",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11503 NW MILITARY HWY",
            "address_2": "SUITE # 202",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "78231",
            "telephone_number": "210-233-6363"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11503 NW MILITARY HWY",
            "address_2": "SUITE # 202",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "78231",
            "telephone_number": "210-233-6363"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRUZ",
        "first_name": "RYAN",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-04-27",
        "last_updated": "2024-06-04",
        "certification_date": "2024-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "TX",
            "license": "R6374",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.