Jose Cruzzavala, M.D.

Primary specialty

Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianTaxonomy code 208G00000X

License

15479 Issued in WV

Practice address

600 18TH Street
Suite 201
Parkersburg, WV 26101

Phone

(304) 424-4760

Fax

(304) 424-4761

NPI assigned

Oct 3, 2006

Last updated

Oct 13, 2014By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in TX, LA2 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

Thoracic Surgery

Education

Other, 1977

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

J Mark Morales MD PAGroup PAC ID 8628230182, 4 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Northwest Texas Hospital Hospital, Amarillo, TX, CCN 450209

Merit-based Incentive Payment System (MIPS)

Final score

93.61 of 100Reported as group

Quality

86.8

Improvement activities

40

Cost

64.79

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/EGIFBA

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.

• J. Mark Morales, M.D., PA

  • Specialist
  • Corpus Christi, TX
  • NPI 1225168784

  LA

  Medicare reassignment Care Compare group NPD
• Camden-Clark Physician Corporation

  • Surgery Physician
  • Parkersburg, WV
  • NPI 1710125430
  NPD
• Camden Clark Memorial Hospital Corporation

  dba Camden Clark Medical Center

  • General Acute Care Hospital
  • Parkersburg, WV
  • NPI 1699704254
  NPD (past)
• Morgantown Pulmonary Associates PC

  • Pulmonary Disease Physician
  • Morgantown, WV
  • NPI 1245200989
  NPD (past)
• West Virginia University Medical Corporation

  dba Crisis Support and Recovery Center

  • Community/Behavioral Health Agency
  • Martinsburg, WV
  • NPI 1174233530
  NPD (past)
• Cardiovascular Care Providers, Inc.

  • Specialist
  • Houston, TX
  • NPI 1437242617
  NPD (past)

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

• Northwest Texas Healthcare System Inc

  dba Northwest Texas Healthcare System

  • General Acute Care Hospital
  • Amarillo, TX
  • NPI 1467442418
  Care Compare affiliation

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1413158400000",
    "number": "1629162342",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 18TH STREET",
            "address_2": "SUITE 201",
            "city": "PARKERSBURG",
            "state": "WV",
            "postal_code": "26101",
            "telephone_number": "304-424-4760",
            "fax_number": "304-424-4761"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 18TH STREET",
            "address_2": "SUITE 201",
            "city": "PARKERSBURG",
            "state": "WV",
            "postal_code": "26101",
            "telephone_number": "304-424-4760",
            "fax_number": "304-424-4761"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRUZZAVALA",
        "first_name": "JOSE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-03",
        "last_updated": "2014-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208G00000X",
            "taxonomy_group": "",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "WV",
            "license": "15479",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0129506000",
            "state": "WV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "020045089",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Benitha Crowley
• Rebecca Novella Crowson, CARE COORDINATOR
• Elizabeth Cruger, LPC
• Katherine Crumbaker
• Dana R Cruse, CFNP, BC-ADM
• Sky Cudebec
• Marion Lorraine Culbertson, NP
• Melody Cullen
• Tarra Cullen
• Therese Marie Cullum, CNP

• Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician in Parkersburg, WV
• Providers in Parkersburg, WV by specialty
• Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2014; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.