Individual provider Active NPI

Robert William Santa-Cruz, M.D.

  • Urology Physician
  • Palm Harbor, FL
National Provider Identifier
1508816869
Registry record updated Jun 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
ME104791 Issued in FL
Practice address
34041 US 19 N Ste D
Palm Harbor, FL 34684-2648
Phone
(727) 942-5189
Fax
(727) 390-8309
NPI assigned
May 10, 2006
Last updated
Jun 14, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 14, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X DR.0063304 CO
Urology Physician 208800000X 38977 SC
Urology Physician 208800000X ME104791 FL Primary

Addresses

Primary practice location

34041 US 19 N Ste D
Palm Harbor, FL 34684-2648

Mailing address

PO Box 3239
Florence, SC 29502-3239
Phone (843) 777-7120

Other practice location 1

175 S Union Blvd Ste 315
Colorado Springs, CO 80910-3126
Phone (719) 365-3700

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address rsantacruz332155@direct-ehr-ssmhc.com Direct
FHIR URL https://fhir.ssmhc.com/fhir/api/FHIR/DSTU2/ Other

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, IL, CO, MO, NE5 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 5

Enrollment IDStateProvider typePAC IDDetails
I20100414000214 FL Practitioner - Urology 8123004249 Reassigns benefits to 1 organization
I20190204000010 IL Practitioner - Urology 8123004249 Reassigns benefits to 1 organization
I20191205001248 CO Practitioner - Urology 8123004249 Reassigns benefits to 1 organization
I20210114001224 MO Practitioner - Urology 8123004249 Reassigns benefits to 2 organizations
I20220128000733 NE Practitioner - Urology 8123004249 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
University of Miami, LM Miller School of Medicine, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Florida Hospital Physician Group IncGroup PAC ID 2365679057, 953 clinicians
Mercy Clinic Springfield CommunitiesGroup PAC ID 7416865845, shared by 26 NPIs, 1,121 clinicians

Practice addresses (Care Compare)

13901 Bruce B Downs Blvd
Tampa, FL 33613-3905
Phone (813) 615-7260

1965 S Fremont Ave
370 MC Urology S Fremont
Springfield, MO 65804-2284
Phone (417) 820-0300

2435 Bexley Village Dr
Suite 200
Land O Lakes, FL 34638-2721
Phone (813) 467-4771

2700 Healing Way
Wesley Chapel, FL 33543-5453

34041 US 19
Palm Harbor, FL 34684-2648

448 State Hwy 248
Suite 150
Branson, MO 65616-3725
Phone (417) 336-6713

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Prostate resection17
Removal of the uterus1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Physician Services Corporation of Southern Illinois Inc. CurrentSince Jan 1, 2019 Accepting new patients
Poudre Valley Medical Group, LLC Current Accepting new patients
Mercy Clinic Springfield Communities CurrentSince Jan 1, 2021 Accepting new patients
Poudre Valley Medical Group, LLC Urology CurrentSince Sep 17, 2021 Accepting new patients
Harlan County Health System Current Accepting new patients
Florida Hospital Physician Group Inc CurrentSince Aug 12, 2024 Accepting new patients
Mercy Clinic Springfield Communities CurrentSince Jan 1, 2021 Accepting new patients
Harlan County Health System CurrentSince Sep 1, 2022 Accepting new patients
Mercy Clinic Springfield Communities CurrentSince Jan 1, 2021 Accepting new patients
St Luke's Methodist Hospital Current Accepting new patients
Robert Santa Cruz, MD, PA Past Accepting new patients
Dubuque Urology Service, P.C. Urology Past Accepting new patients
University Surgery Associates, PLLC Urology Past Accepting new patients
The Finley Hospital Past Accepting new patients
Laurel Urology Clinic PA Urology Past Accepting new patients
South Central Clinics, Inc Urology Past Accepting new patients

Locations

4404 Barranca Ln
Castle Rock, CO 80104
Phone (720) 733-5260

3843 Rio Vista Dr
Ste 2300
Colorado Springs, CO 80917
Phone (719) 365-3700

175 S Union Blvd
Ste 315
Colorado Springs, CO 80910
Phone (719) 365-3700

2695 Rocky Mountain Ave
Ste 150
Loveland, CO 80538
Phone (970) 624-2403

2435 Bexley Village Dr
Ste 200
Land O Lakes, FL 34638
Phone (813) 467-4771

34041 US Highway 19 N
Ste D
Palm Harbor, FL 34684
Phone (727) 787-6744

13901 Bruce B Downs Blvd
Tampa, FL 33613
Phone (813) 615-7260

2700 Healing Way
Ste 310
Wesley Chapel, FL 33543
Phone (813) 779-1209

350 N Grandview Ave
Dubuque, IA 52001
Phone (563) 582-1881

2 Good Samaritan Way
Ste 405
Mount Vernon, IL 62864
Phone (618) 899-4000

2 Good Samaritan Way
Ste 320
Mount Vernon, IL 62864
Phone (618) 899-1944

448 State Highway 248
Ste 150
Branson, MO 65616
Phone (417) 336-6713

3221 McKelvey Rd
Ste 301
Bridgeton, MO 63044

1605 Martin Springs Dr
Rolla, MO 65401
Phone (573) 458-6379

1965 S Fremont Ave
Ste 370
Springfield, MO 65804
Phone (417) 820-0300

2115 S Fremont Ave
Ste 3050
Springfield, MO 65804
Phone (417) 820-3905

1235 E Cherokee St
Springfield, MO 65804
Phone (417) 820-2115

717 Brown St
Alma, NE 68920
Phone (308) 928-2151

Networks

  • Freedom Health HMO Network
  • Optimum HealthCare HMO Network

Interoperability endpoints

  • Direct secure messaging: rsantacruz332155@direct-ehr-ssmhc.com
  • Direct secure messaging: rsantacruz2771491@adventhealth.direct-ci.com
  • Direct secure messaging: rsantacruz168428@direct.unitypoint.org
  • Direct secure messaging: robert.santacruz@hca2.eclinicaldirectplus.com

Organizations & group practices 16

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.

View all 16

Hospital & facility affiliations 13

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1147219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718323200000",
    "number": "1508816869",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3239",
            "city": "FLORENCE",
            "state": "SC",
            "postal_code": "295023239",
            "telephone_number": "843-777-7120",
            "fax_number": "843-777-7122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34041 US 19 N STE D",
            "city": "PALM HARBOR",
            "state": "FL",
            "postal_code": "346842648",
            "telephone_number": "727-942-5189",
            "fax_number": "727-390-8309"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "175 S Union Blvd Ste 315",
            "address_purpose": "LOCATION",
            "city": "Colorado Springs",
            "state": "CO",
            "postal_code": "809103126",
            "country_code": "US",
            "telephone_number": "719-365-3700",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SANTA-CRUZ",
        "first_name": "ROBERT",
        "middle_name": "WILLIAM",
        "name_prefix": "Mr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-10",
        "last_updated": "2024-06-14",
        "certification_date": "2024-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "CO",
            "license": "DR.0063304",
            "primary": false
        },
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "SC",
            "license": "38977",
            "primary": false
        },
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "FL",
            "license": "ME104791",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rsantacruz332155@direct-ehr-ssmhc.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "rsantacruz332155@direct-ehr-ssmhc.com",
            "address_1": "700 S Park St",
            "city": "Madison",
            "state": "WI",
            "country_code": "US",
            "postal_code": "537151830",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://fhir.ssmhc.com/fhir/api/FHIR/DSTU2/",
            "affiliation": "N",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "FHIR API",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCD",
            "address_1": "700 S Park St",
            "city": "Madison",
            "state": "WI",
            "country_code": "US",
            "postal_code": "537151830",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Palm Harbor, FL

Sources for this page

Verify at the official NPI Registry.