Individual provider Active NPI

Narlito V Cruz, M.D.

  • Allergy & Immunology Physician
  • Tallahassee, FL
National Provider Identifier
1467511816
Registry record updated Feb 12, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy & Immunology PhysicianTaxonomy code 207K00000X
License
75761 Issued in FL
Practice address
2619 Centennial Blvd
103
Tallahassee, FL 32308-0587
Phone
(850) 656-7720
Fax
(850) 656-7729
NPI assigned
Dec 8, 2006
Last updated
Feb 12, 2013By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 12, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy & Immunology Physician 207K00000X 75761 FL Primary
Allergy & Immunology Physician 207K00000X 45758 GA

Addresses

Primary practice location

2619 Centennial Blvd
103
Tallahassee, FL 32308-0587

Mailing address

2619 Centennial Blvd
103
Tallahassee, FL 32308-0587
Phone (850) 656-7720

Other identifiers 2

IdentifierTypeStateIssuer
00802227AMedicaidGA
004211500MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, FL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20070822000843 GA Practitioner - Allergy/Immunology 3577655562 Reassigns benefits to 1 organization
I20120118000402 FL Practitioner - Allergy/Immunology 3577655562 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Allergy/Immunology
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Tallahassee Allergy, Asthma and Immunology, LLCGroup PAC ID 4880694470, 2 clinicians

Practice addresses (Care Compare)

1512 E Evans St
Bainbridge, GA 39819-4364
Phone (850) 656-7720

2619 Centennial Blvd
Suite 103
Tallahassee, FL 32308-0590
Phone (850) 656-7720

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
75761FLMDAllergy & Immunology Physician
45758GAMDAllergy & Immunology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Tallahassee Allergy, Asthma & Immunology, LLC Allergy & Immunology CurrentSince Nov 1, 2011 Accepting new patients
Tallahassee Memorial Healthcare Inc Past Accepting new patients

Locations

1708 Riggins Rd
Tallahassee, FL 32308
Phone (850) 513-0067

2619 Centennial Blvd
Ste 103
Tallahassee, FL 32308
Phone (850) 431-9299

2646 Centennial Pl
Ste B
Tallahassee, FL 32308

1512 E Evans St
Bainbridge, GA 39819
Phone (850) 219-2000

Interoperability endpoints

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

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1165536000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1360627200000",
    "number": "1467511816",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2619 CENTENNIAL BLVD",
            "address_2": "103",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323080587",
            "telephone_number": "850-656-7720",
            "fax_number": "850-656-7729"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2619 CENTENNIAL BLVD",
            "address_2": "103",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323080587",
            "telephone_number": "850-656-7720",
            "fax_number": "850-656-7729"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRUZ",
        "first_name": "NARLITO",
        "middle_name": "V",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-08",
        "last_updated": "2013-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": "FL",
            "license": "75761",
            "primary": true
        },
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": "GA",
            "license": "45758",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00802227A",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004211500",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tallahassee, FL

Sources for this page

Verify at the official NPI Registry.