Individual provider Active NPI

Jaime Oscar Cruz, M.D.

  • Endocrinology, Diabetes & Metabolism Physician
  • San Antonio, TX
National Provider Identifier
1396746442
Registry record updated Jan 12, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
License
H5394 Issued in TX
Practice address
155 E Sonterra Blvd Ste 105
San Antonio, TX 78258-3988
Phone
(210) 314-8045
Fax
(210) 314-8073
NPI assigned
Aug 10, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 12, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endocrinology, Diabetes & Metabolism Physician 207RE0101X H5394 TX Primary

Addresses

Primary practice location

155 E Sonterra Blvd Ste 105
San Antonio, TX 78258-3988

Mailing address

155 E Sonterra Blvd Ste 105
San Antonio, TX 78258-3988
Phone (210) 314-8045

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
I20100414000960 TX Practitioner - EndocrinologyPractitioner - Internal Medicine 6507993037 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
EndocrinologyAlso: Internal Medicine
Education
Tufts University School of Medicine, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

155 E Sonterra Blvd
Suite 105
San Antonio, TX 78258-3988
Phone (210) 314-8045

Hospital & facility affiliations

  • Methodist Hospital Stone Oak Hospital, San Antonio, TX, CCN 670055

Merit-based Incentive Payment System (MIPS)

Final score
23.34 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
77.79

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
San Antonio Diabetes and Endocrinology Consultants PLLC Endocrinology, Diabetes & Metabolism CurrentSince Jun 25, 2013 Accepting new patients
Citizens Medical Center County of Victoria Past Accepting new patients

Locations

155 E Sonterra Blvd
Ste 105
San Antonio, TX 78258
Phone (210) 314-8045

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/AHHDCA/Endpoint/AHHDCA

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 1

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": "1123632000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1389484800000",
    "number": "1396746442",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "155 E SONTERRA BLVD STE 105",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782583988",
            "telephone_number": "210-314-8045",
            "fax_number": "210-314-8073"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "155 E SONTERRA BLVD STE 105",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782583988",
            "telephone_number": "210-314-8045",
            "fax_number": "210-314-8073"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRUZ",
        "first_name": "JAIME",
        "middle_name": "OSCAR",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-08-10",
        "last_updated": "2014-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "TX",
            "license": "H5394",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.