Rafael F Cruz, MD

Primary specialty

Emergency Medical Services (Emergency Medicine) PhysicianTaxonomy code 207PE0004X

License

01046661A Issued in IN

Practice address

405 E Court Ave Ste 102
Jeffersonville, IN 47130-3474

Phone

(812) 913-4416

Fax

(812) 213-8409

NPI assigned

Apr 21, 2006

Last updated

May 2, 2022By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in IN, KY2 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

Specialty

General PracticeAlso: Emergency Medicine

Education

Wright State University Boonshoft School of Medicine, 1993

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Procedures performed for Medicare patients

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.

• Crosses Enterprises LLC

  dba Physical Assessment Associates

  • General Practice Physician
  • Jeffersonville, IN
  • NPI 1417204306
  Medicare reassignment Authorized official
• Community Medical Associates, Inc.

  • Multi-Specialty Clinic/Center
  • Louisville, KY
  • NPI 1306983762
  Medicare reassignment
• -Trinity Integrative Medicine

  • Emergency Medicine Physician
  • Jeffersonville, IN
  • NPI 1821334673
  Authorized official Same address or phone
• Wyoming Medicine and Pharmacy LLC

  dba Kentuckiana Medicine

  • General Practice Physician
  • Jeffersonvlle, IN
  • NPI 1104229426
  Authorized official Same address or phone

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

{
    "created_epoch": "1145577600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651449600000",
    "number": "1588620207",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1010 W HARRISON AVE",
            "city": "CLARKSVILLE",
            "state": "IN",
            "postal_code": "471292537",
            "telephone_number": "859-468-5065",
            "fax_number": "502-272-5114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "405 E COURT AVE STE 102",
            "city": "JEFFERSONVILLE",
            "state": "IN",
            "postal_code": "471303474",
            "telephone_number": "812-913-4416",
            "fax_number": "812-213-8409"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRUZ",
        "first_name": "RAFAEL",
        "middle_name": "F",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-04-21",
        "last_updated": "2022-05-02",
        "certification_date": "2022-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207PE0004X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine, Emergency Medical Services",
            "state": "KY",
            "license": "37305",
            "primary": false
        },
        {
            "code": "207PE0004X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine, Emergency Medical Services",
            "state": "WA",
            "license": "60939143",
            "primary": false
        },
        {
            "code": "207PE0004X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine, Emergency Medical Services",
            "state": "IN",
            "license": "01046661A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00319187",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Bailey Crosier
• Crosses Enterprises LLC (Physical Assessment Associates)
• Crossings Clinic LLC
• Crossover Health Medical Group (Crossover @ Jeffersonville)
• Michael Gary Crouch, PHARMD
• CSL Riverbend in LLC
• Sarah Kathleen Cubbage, CNM
• Yazmin Cuellar-Bustamante
• Matthew Culbreth
• Kaitlyn Cull

• Emergency Medical Services (Emergency Medicine) Physician in Jeffersonville, IN
• Providers in Jeffersonville, IN by specialty
• Emergency Medical Services (Emergency Medicine) Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2022; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.

Verify at the official NPI Registry.