Carlos Cruz, MD

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

13866R Issued in LA

Practice address

9231 Hidden Mountain Dr
Chattanooga, TN 37421-7423

Phone

(504) 913-2789

NPI assigned

Jun 9, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in TN, GA2 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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/14272/brand/70/csg/1/fhir/r4

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.

• App of Tennessee Ed, PLLC

  • Emergency Medicine Physician
  • Maryville, TN
  • NPI 1003230236
  Medicare reassignment NPD
• Coffee County Physician Group PC

  • Emergency Medicine Physician
  • Manchester, TN
  • NPI 1437164878
  Medicare reassignment NPD
• Concord Medical Group of Kentucky PLLC

  • Emergency Medicine Physician
  • Hardinsburg, KY
  • NPI 1346746385

  TN

  Medicare reassignment NPD
• Gordon Emergency Physicians, LLC

  • Emergency Medicine Physician
  • Calhoun, GA
  • NPI 1205290467
  Medicare reassignment NPD
• Murray Emergency Physicians, LLC

  • Emergency Medicine Physician
  • Chatsworth, GA
  • NPI 1043783970
  Medicare reassignment NPD
• Southeastern Emergency Physicians LLC

  • Emergency Medicine Physician
  • Maysville, KY
  • NPI 1356379382

  TN

  Medicare reassignment NPD
• Gordon Emergency Physicians, LLC

  • Emergency Medicine Physician
  • Chatsworth, GA
  • NPI 1639621485
  NPD
• Emcare Physician Providers, Inc.

  • Emergency Medicine Physician
  • Lafayette, TN
  • NPI 1902858137
  NPD (past)
• C & M Medical Services, Inc.

  • Emergency Medical Services (Emergency Medicine) Physician
  • Metairie, LA
  • NPI 1710903059
  NPD (past)
• Hargrave Emergency Physicians LLC

  • Emergency Medicine Physician
  • Ft Oglethorpe, GA
  • NPI 1760744668
  NPD (past)
• Inphynet Primary Care Physicians Southeast PC

  • Emergency Medicine Physician
  • Columbus, GA
  • NPI 1770521460
  NPD (past)
• Sheridan Emergency Physician Services, Inc

  • Emergency Medicine Physician
  • Ocala, FL
  • NPI 1528206992
  NPD (past)

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

{
    "created_epoch": "1149811200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1320019200000",
    "number": "1619918851",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9231 HIDDEN MOUNTAIN DR",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374217423",
            "telephone_number": "504-913-2789"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9231 HIDDEN MOUNTAIN DR",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374217423",
            "telephone_number": "504-913-2789"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRUZ",
        "first_name": "CARLOS",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-09",
        "last_updated": "2011-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "LA",
            "license": "13866R",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CHAMPUS",
            "identifier": "A127",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "561696907C",
            "state": "LA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1572331",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Laura Crowley, MSN
• Charles A Crump Jr., MD
• Sarah Crump, AGACNP-BC
• Kelli Alise Cruse
• Crux Chiropractic
• Jan Renee Crye, OTR
• CSS Transportation Incorporated
• Ctr. for Individ. & Family Effectiveness
• Ctr. for Individual & Family Effectiveness
• Cuidado Urgente PLLC

• Emergency Medicine Physician in Chattanooga, TN
• Providers in Chattanooga, TN by specialty
• Emergency Medicine Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2011; 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.

Verify at the official NPI Registry.