Active NPI
Danilo L Cruz, M.D.
- Internal Medicine Physician
- San Angelo, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- Q3351
- Practice address
- 3502 Knickerbocker Rd
San Angelo, TX 76904-7671 - Phone
- (325) 658-1511
- Fax
- (325) 481-2166
- NPI assigned
- Jul 15, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | E3458 | AR | |
| Internal Medicine Physician | 207R00000X | Q3351 | TX | Primary |
Addresses
Primary practice location
3502 Knickerbocker Rd
San Angelo, TX 76904-7671
Mailing address
PO Box 22000
San Angelo, TX 76902-7200
Phone (325) 658-1511
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5M472 | Other | AR | AR BCBS |
| 149548001 | Medicaid | AR | |
| 8EZ607 | Other | TX | BCBS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AR
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| Q3351 | TX | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mercy Hospital Paris | Current | Accepting new patients | |
| Ess Hospitalist LLC | Current | Accepting new patients | |
| Mercy Hospital Paris | Current | Accepting new patients | |
| Arkansas Emergency Staffing Solutions, Inc | Current | Accepting new patients | |
| Mercy Hospital Paris | Current | Accepting new patients | |
| Correct Care, Inc. | Current | Accepting new patients | |
| St. Edward Mercy Medical Center | Past | Accepting new patients | |
| Shannon Clinic | Internal Medicine | Past | Accepting new patients |
| Shannon Clinic | Past | Accepting new patients | |
| Mercy Medical Services, Inc | Past | Accepting new patients |
Locations
451 W Locke St
Ashdown, AR 71822
Phone (870) 265-5351
880 W Main St
Booneville, AR 72927
Phone (479) 675-2800
1015 Unity Rd
Crossett, AR 71635
Phone (870) 364-0590
1306 W Collin Raye Dr
De Queen, AR 71832
Phone (870) 584-4111
7301 Rogers Ave
Fort Smith, AR 72903
Phone (479) 314-4600
801 W River St
Ozark, AR 72949
Phone (479) 667-4138
500 E Academy St
Paris, AR 72855
Phone (479) 963-6101
1341 W 6th St
Waldron, AR 72958
Phone (479) 637-2136
229 Saint John Ln
Covington, LA 70433
Phone (866) 875-9225
Organizations & group practices 10
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.
-
- Emergency Medicine Physician
- Hope, AR
- NPI 1275774630
-
- Hospitalist Physician
- Crossett, AR
- NPI 1881967305
-
- Emergency Care Clinic/Center
- Paris, AR
- NPI 1518915321
-
- Clinic/Center
- Paris, AR
- NPI 1912955709
-
- Critical Access Hospital
- Paris, AR
- NPI 1760453633
-
- Pediatrics Physician
- Del Rio, TX
- NPI 1790986719
-
- Multi-Specialty Clinic/Center
- Fort Smith, AR
- NPI 1750349932
-
- Clinic/Center
- Fort Smith, AR
- NPI 1356309660
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152921600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1428537600000",
"number": "1508882952",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 22000",
"city": "SAN ANGELO",
"state": "TX",
"postal_code": "769027200",
"telephone_number": "325-658-1511",
"fax_number": "325-481-2166"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3502 KNICKERBOCKER RD",
"city": "SAN ANGELO",
"state": "TX",
"postal_code": "769047671",
"telephone_number": "325-658-1511",
"fax_number": "325-481-2166"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CRUZ",
"first_name": "DANILO",
"middle_name": "L",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-15",
"last_updated": "2015-04-09",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "AR",
"license": "E3458",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "TX",
"license": "Q3351",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AR BCBS",
"identifier": "5M472",
"state": "AR"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "149548001",
"state": "AR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "8EZ607",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in San Angelo, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.