Individual provider Active NPI

Jose Maria Roberto Cruz Jacinto, MD

  • Surgery Physician
  • Brooklyn, NY
National Provider Identifier
1427287465
Registry record updated Sep 4, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
003410 Issued in NY
Practice address
121 Dekalb Ave.
Brooklyn, NY 11201
Phone
(718) 250-6923
Fax
(718) 250-6080
NPI assigned
Jul 13, 2009
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 4, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 003410 NY Primary

Addresses

Primary practice location

121 Dekalb Ave.
Brooklyn, NY 11201

Mailing address

1400 Bryan Dr Ste 307
Durant, OK 74701-2158
Phone (580) 931-9400

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jose.jacinto.1@4696.direct.athenahealth.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK
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
I20110816000792 OK Practitioner - General Surgery 3678699915 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Durant Hma Physician Management LLCGroup PAC ID 3375638976, 23 clinicians

Practice addresses (Care Compare)

1400 Bryan Dr
Durant, OK 74701-2158

1800 W University Blvd
Durant, OK 74701-3006
Phone (580) 924-3080

701 Hwy 70 E
Kingston, OK 73439-8253
Phone (580) 564-7338

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
88.18 of 100Reported as apm
Quality
71.02
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy25
Hernia repair - groin (open)1-10
Hernia repair (minimally invasive)1-10
Upper gastrointestinal (GI) endoscopy for acid reflux15
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
003410NYMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Durant Hma Physician Management, LLC CurrentSince Jul 1, 2016 Accepting new patients
Marshall County Hma LLC CurrentSince Dec 1, 2025 Accepting new patients
Marshall County Hma, LLC CurrentSince Dec 1, 2025 Accepting new patients
Durant Hma LLC Past Accepting new patients
OB/GYN Associates of Durant Past Accepting new patients
Marshall County Hma, LLC Past Accepting new patients

Locations

1400 Bryan Dr
Ste 307
Durant, OK 74701
Phone (580) 931-2297

1800 W University Blvd
Durant, OK 74701
Phone (580) 924-3080

1400 Bryan Dr
Ste 301
Durant, OK 74701
Phone (580) 920-0105

1400 Bryan Dr
Ste 101
Durant, OK 74701
Phone (580) 924-3080

701 Highway 70 E
Kingston, OK 73439
Phone (580) 564-4944

907 Hospital Dr
Madill, OK 73446
Phone (580) 795-0191

901 S 5th Ave
Madill, OK 73446
Phone (580) 564-7338

Interoperability endpoints

  • Direct secure messaging: jose.jacinto.1@4696.direct.athenahealth.com

Organizations & group practices 6

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 3

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": "1247443200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1599177600000",
    "number": "1427287465",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 BRYAN DR STE 307",
            "city": "DURANT",
            "state": "OK",
            "postal_code": "747012158",
            "telephone_number": "580-931-9400",
            "fax_number": "580-931-9403"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 DEKALB AVE.",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "11201",
            "telephone_number": "718-250-6923",
            "fax_number": "718-250-6080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACINTO",
        "first_name": "JOSE MARIA ROBERTO",
        "middle_name": "CRUZ",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-07-13",
        "last_updated": "2020-09-04",
        "certification_date": "2020-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NY",
            "license": "003410",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jose.jacinto.1@4696.direct.athenahealth.com",
            "affiliation": "N",
            "endpointDescription": "AMR Direct Address",
            "address_1": "1400 Bryan Dr Ste 307",
            "city": "Durant",
            "state": "OK",
            "country_code": "US",
            "postal_code": "747012158",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.