NPIMap

Individual provider Active NPI

Edgar V M Cruz-Gonzalez, MD

  • Surgery Physician
  • McAllen, TX
National Provider Identifier
1609952092
Registry record updated Mar 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
K4033 Issued in TX
Practice address
1100 E Dove Ave Ste 300
McAllen, TX 78504-4672
Phone
(956) 362-8170
Fax
(956) 362-8168
NPI assigned
Oct 27, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X K4033 TX Primary

Addresses

Primary practice location

1100 E Dove Ave Ste 300
McAllen, TX 78504-4672

Mailing address

PO Box 2975
McAllen, TX 78502-2975
Phone (956) 362-8170

Other practice location 1

505 Angelita Dr Ste 14
Weslaco, TX 78599-8694
Phone (956) 362-3720

Other identifiers 6

IdentifierTypeStateIssuer
175076201MedicaidTX
8AJ767OtherTXBCBS
100726207MedicaidTX
100726205MedicaidTX
100726206MedicaidTX
P00278614OtherTXRAILROAD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20050406000484 TX Practitioner - General Surgery 0345232724 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Other, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Renaissance Specialty SurgeryGroup PAC ID 8628291820, 26 clinicians

Practice addresses (Care Compare)

1100 E Dove Ave
Suite 300
McAllen, TX 78504-4682
Phone (956) 362-8170

Hospital & facility affiliations

  • Doctors Hosptal at Renaissance Hospital, Edinburg, TX, CCN 450869
  • Starr County Memorial Hospital Hospital, Rio Grande City, TX, CCN 450654

Merit-based Incentive Payment System (MIPS)

Final score
90.16 of 100Reported as group
Quality
80.62
Improvement activities
40
Cost
69.4

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hernia repair - groin (open)1-10
Hernia repair (minimally invasive)1-10
Mastectomy1-10
Melanoma (skin cancer) excision1-10
Removal of tissue1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
John G Orfanos MD PA Surgery Past Accepting new patients
Doctors Hospital at Renaissance, LTD Past Accepting new patients

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/3fe59471-3589-4f65-b447-b92822bfc057/

Organizations & group practices 3

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.

Hospital & facility affiliations 5

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": "1161907200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679616000000",
    "number": "1609952092",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2975",
            "city": "MCALLEN",
            "state": "TX",
            "postal_code": "785022975",
            "telephone_number": "956-362-8170",
            "fax_number": "956-362-8168"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 E DOVE AVE STE 300",
            "city": "MCALLEN",
            "state": "TX",
            "postal_code": "785044672",
            "telephone_number": "956-362-8170",
            "fax_number": "956-362-8168"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "505 Angelita Dr Ste 14",
            "address_purpose": "LOCATION",
            "city": "Weslaco",
            "state": "TX",
            "postal_code": "785998694",
            "country_code": "US",
            "telephone_number": "956-362-3720",
            "fax_number": "956-854-4557",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CRUZ-GONZALEZ",
        "first_name": "EDGAR",
        "middle_name": "V M",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-27",
        "last_updated": "2023-03-24",
        "certification_date": "2023-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "TX",
            "license": "K4033",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "175076201",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "8AJ767",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100726207",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100726205",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100726206",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD",
            "identifier": "P00278614",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in McAllen, TX

Sources for this page

Verify at the official NPI Registry.