Individual provider Active NPI

Patricia Balcacer de la Cruz, M.D.

  • Diagnostic Radiology Physician
  • Miami, FL
National Provider Identifier
1407160419
Registry record updated Nov 15, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
ME124475 Issued in FL
Practice address
1475 NW 12TH Ave
Miami, FL 33136-1002
Phone
(305) 243-5512
Fax
(305) 243-4613
NPI assigned
Aug 2, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 15, 2018

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 5315037122 MI
Diagnostic Radiology Physician 2085R0202X 4301092773 MI
Diagnostic Radiology Physician 2085R0202X ME124475 FL Primary

Addresses

Primary practice location

1475 NW 12TH Ave
Miami, FL 33136-1002

Mailing address

1475 NW 12TH Ave
Miami, FL 33136-1002
Phone (305) 243-5512

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
I20190129002681 FL Practitioner - Diagnostic Radiology 5698919710 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Baptist Outpatient Services IncGroup PAC ID 6002807385, 198 clinicians
Mori Bean and Brooks IncGroup PAC ID 8820077878, 966 clinicians

Practice addresses (Care Compare)

10 Giralda Ave
Suite 120
Coral Gables, FL 33134-5303
Phone (786) 467-5052

10125 Glades Rd
Boca Raton, FL 33498-6739
Phone (904) 399-5550

1228 S Pine Island Rd
Suite 120
Plantation, FL 33324-4580
Phone 95483714204580

13500 Sw152Nd St
Suite 120
Miami, FL 33177-1111
Phone (786) 596-4333

14660 SW 8TH St
Miami, FL 33184-3135
Phone (904) 399-5550

15885 Pines Blvd
Suite 120
Pembroke Pines, FL 33027-1220
Phone (954) 837-1350

15955 SW 96 St
Miami, FL 33196-1272

20665 Lyons Rd
Boca Raton, FL 33434-3911
Phone (561) 883-6677

20991 Old Cutler Rd
Cutler Bay, FL 33189-2469
Phone (786) 595-1795

2660 Brickell Ave
Miami, FL 33129-2800
Phone (786) 467-5320

3050 NE 164TH St
Miami, FL 33160-4131
Phone (904) 399-5550

4741 S University Dr
Suite 120
Davie, FL 33328-3819
Phone (954) 837-1060

5000 SW 80TH St
Miami, FL 33143-6046
Phone (904) 399-5550

5000 University Dr
Coral Gables, FL 33146-2008
Phone (904) 399-5550

6200 SW 73 St
South Miami, FL 33143-4679
Phone (904) 399-5550

6264 W Sample Rd
Coral Springs, FL 33067-3273

8725 SW 136TH St
Miami, FL 33176-5814

8840 Bird Rd
Suite 300
Miami, FL 33165-5482
Phone (786) 596-3880

8900 N Kendall Dr
Miami, FL 33176-2118
Phone (904) 399-5550

8950 N Kendall Dr
Miami, FL 33176-2144
Phone (786) 596-7200

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
74.32 of 100Reported as group
Quality
41.6
Promoting interoperability
95
Improvement activities
40
Cost
76.98

Merit-based Incentive Payment System (MIPS)

Final score
78.06 of 100Reported as group
Quality
72.79
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4301092773MIMDDiagnostic Radiology Physician
5315037122MIMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Baptist Outpatient Services Inc Diagnostic Radiology CurrentSince Jun 1, 2022 Accepting new patients
Mori Bean and Brooks Inc Diagnostic Radiology CurrentSince Jun 16, 2022 Accepting new patients
University of Miami Current Accepting new patients
University of Miami CurrentSince Jan 1, 2020 Accepting new patients
Baptist Outpatient Services Inc CurrentSince Jun 1, 2022 Accepting new patients

Locations

6264 W Sample Rd
Ste 120
Coral Springs, FL 33067
Phone (954) 837-1020

4800 NE 20th Ter
Ste 201
Ft Lauderdale, FL 33308
Phone (305) 892-4000

975 Baptist Way
Homestead, FL 33033
Phone (786) 243-8000

3301 Overseas Hwy
Marathon, FL 33050
Phone (305) 743-5533

1611 NW 12th Ave
Miami, FL 33136
Phone (305) 585-6226

8900 SW 88th St
Miami, FL 33176
Phone (305) 596-1960

9555 SW 162nd Ave
Miami, FL 33196
Phone (786) 467-2000

8400 NW 53rd St
Miami, FL 33166

8950 N Kendall Dr
Fl 2
Miami, FL 33176
Phone (786) 596-7200

14591 SW 26th St
Miami, FL 33175
Phone (786) 204-4600

1475 NW 12th Ave
Miami, FL 33136
Phone (305) 243-4200

14150 SW 136th St
Miami, FL 33186
Phone (786) 204-4600

8900 N Kendall Dr
Ste 201
Miami, FL 33176

5000 University Dr
Miami, FL 33146
Phone (305) 666-2111

6200 SW 73rd St
South Miami, FL 33143
Phone (305) 661-4611

Organizations & group practices 5

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 5

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": "1280707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1542240000000",
    "number": "1407160419",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1475 NW 12TH AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331361002",
            "telephone_number": "305-243-5512",
            "fax_number": "305-243-4613"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1475 NW 12TH AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331361002",
            "telephone_number": "305-243-5512",
            "fax_number": "305-243-4613"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALCACER DE LA CRUZ",
        "first_name": "PATRICIA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-08-02",
        "last_updated": "2018-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MI",
            "license": "5315037122",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MI",
            "license": "4301092773",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "FL",
            "license": "ME124475",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.