Heidi M Cruz, M.D.
Individual provider Active NPI Physical Medicine & Rehabilitation Physician · Windsor, VT
NPI 1477526622 · NPPES record last updated Mar 9, 2021
Key facts
- NPI
- 1477526622
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Medicine & Rehabilitation Physician 208100000X
- License
- 042-0011309 (VT)
- Practice address
- 289 County Rd
Windsor, VT 05089-9000 - Phone
- (802) 674-7313
- Fax
- (802) 674-7119
- NPI assigned
- Feb 8, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 6
Hospital & facility affiliations 7
Medicare Care Compare profile
- Specialty
- Physical Medicine and Rehabilitation
- Education
- University of California, Irvine, California College of Medicine, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Windsor Hospital Corporation
Practice addresses (Care Compare)
289 County Rd
Windsor, VT 05089-9000
Phone (802) 674-7300
Hospital & facility affiliations
- Mary Hitchcock Memorial Hospital
- Mt Ascutney Hospital
- Springfield Hospital
- Mt Ascutney Hospital Health Center
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in VT
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20070709000202 | VT | Practitioner - Physical Medicine and Rehabilitation | 1759354939 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 042-0011309 | VT | MD | Physical Medicine & Rehabilitation Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Windsor Hospital Corporation | Current |
Accepting new patients | |
| Windsor Hospital Corporation | Current | Accepting new patients | |
| Windsor Hospital Corporation | Physical Medicine & Rehabilitation | Current |
Accepting new patients |
Locations
289 County Rd
Windsor, VT 05089
Phone (802) 674-7220
Interoperability endpoints
- hcruz622872@direct.dartmouth-hitchcock.org
- heidimcruz@mahhc.cernerdirect.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Medicine & Rehabilitation Physician | 208100000X | 042-0011309 | VT | Yes |
Addresses
Primary practice location
289 County Rd
Windsor, VT 05089-9000
Mailing address
289 County Rd
Windsor, VT 05089-9000
Phone (802) 674-7313
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 258666500 | Medicaid | MN |
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | heidimcruz@mahhc.cernerdirect.com |
NPI Registry JSON
{
"created_epoch": "1139356800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1615248000000",
"number": "1477526622",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "289 COUNTY RD",
"city": "WINDSOR",
"state": "VT",
"postal_code": "050899000",
"telephone_number": "802-674-7313",
"fax_number": "802-674-7119"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "289 COUNTY RD",
"city": "WINDSOR",
"state": "VT",
"postal_code": "050899000",
"telephone_number": "802-674-7313",
"fax_number": "802-674-7119"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CRUZ",
"first_name": "HEIDI",
"middle_name": "M",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-02-08",
"last_updated": "2021-03-09",
"certification_date": "2021-03-09",
"status": "A"
},
"taxonomies": [
{
"code": "208100000X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation",
"state": "VT",
"license": "042-0011309",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "258666500",
"state": "MN"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "heidimcruz@mahhc.cernerdirect.com",
"affiliation": "N",
"address_1": "289 County Rd",
"city": "Windsor",
"state": "VT",
"country_code": "US",
"postal_code": "050899000",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Windsor, VT
- Darcy Cole
- Francesco Congiusta
- Connecticut Valley Addiction Recovery, Inc
- Connecticut Valley Recovery Services, Inc.
- Christopher C Connor
- Elizabeth A Derry
- Katherine Devine
- William Diez
- Ginger Dockum
- Dorina Kramer, DDS
All providers in Windsor, VT · Physical Medicine & Rehabilitation Physician in Vermont
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 9, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.