NPIMap

Individual provider Active NPI

Wilfredo J Cruz, MD

  • Internal Medicine Physician
  • Geneva, NY
National Provider Identifier
1609228154
Registry record updated Sep 18, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
307251 Issued in NY
Practice address
200 North St Ste 102
Geneva, NY 14456-1561
Phone
(315) 787-4000
NPI assigned
Jul 8, 2016
Last updated
Sep 18, 2020By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 18, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 307251 NY Primary

Addresses

Primary practice location

200 North St Ste 102
Geneva, NY 14456-1561

Mailing address

200 North St Ste 102
Geneva, NY 14456-1561
Phone (315) 787-4000

Other practice location 1

410 Clifton Springs Professional Park
Clifton Springs, NY 14432-1037
Phone (315) 462-7001

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210107000186 NY Practitioner - Internal Medicine 4284047457 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

1160 Corporate Dr
Farmington, NY 14425-9534
Phone (585) 924-1510

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
307251NYMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
FLH Medical, PC CurrentSince Sep 1, 2020 Accepting new patients
The Frederick Ferris Thompson Hospital CurrentSince Nov 6, 2023 Accepting new patients
FLH Medical, PC CurrentSince Sep 1, 2020 Accepting new patients
Geneva General Hospital, Inc. CurrentSince Dec 1, 2022 Accepting new patients
Geneva General Hospital, Inc CurrentSince Dec 1, 2022 Accepting new patients
The Frederick Ferris Thompson Hospital CurrentSince Nov 6, 2023 Accepting new patients

Locations

8000 Box
Buffalo, NY 14267
Phone (716) 213-0772

73 Buffalo St
Ste 100
Canandaigua, NY 14424

410 Clifton Springs Professional Park
Clifton Springs, NY 14432
Phone (315) 462-7001

1160 Corporate Dr
Farmington, NY 14425
Phone (585) 924-1510

1614 State Route 332
Farmington, NY 14425
Phone (585) 289-3211

196 North St
Geneva, NY 14456
Phone (315) 787-4000

200 North St
Ste 102
Geneva, NY 14456
Phone (315) 787-5400

141 Central Ave
Keuka Park, NY 14478
Phone (315) 279-5000

28 Cayuga St
Seneca Falls, NY 13148
Phone (315) 568-4415

15 Canandaigua St
Shortsville, NY 14548
Phone (585) 289-3560

Interoperability endpoints

  • Direct secure messaging: wcruz461355@direct.urmc.rochester.edu

Organizations & group practices 6

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.

Hospital & facility affiliations 8

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

NPI Registry JSON

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

{
    "created_epoch": "1467936000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600387200000",
    "number": "1609228154",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 NORTH ST STE 102",
            "city": "GENEVA",
            "state": "NY",
            "postal_code": "144561561",
            "telephone_number": "315-787-4000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 NORTH ST STE 102",
            "city": "GENEVA",
            "state": "NY",
            "postal_code": "144561561",
            "telephone_number": "315-787-4000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "410 Clifton Springs Professional Park",
            "address_purpose": "LOCATION",
            "city": "Clifton Springs",
            "state": "NY",
            "postal_code": "144321037",
            "country_code": "US",
            "telephone_number": "315-462-7001",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CRUZ",
        "first_name": "WILFREDO",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-07-08",
        "last_updated": "2020-09-18",
        "certification_date": "2020-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "307251",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Geneva, NY

Sources for this page

Verify at the official NPI Registry.