Individual provider Active NPI

Roberto Antonio Cruz-Gervis, MD

  • Pulmonary Disease Physician
  • Roxbury Crossing, MA
National Provider Identifier
1649259060
Registry record updated Jul 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
220900 Issued in MA
Practice address
125 Parker Hill Ave Ste 502
Roxbury Crossing, MA 02120-2847
Phone
(617) 754-6199
NPI assigned
Jan 13, 2006
Last updated
Jul 13, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Disease Physician 207RP1001X 220900 MA Primary

Addresses

Primary practice location

125 Parker Hill Ave Ste 502
Roxbury Crossing, MA 02120-2847

Mailing address

132 Arlington Rd
Chestnut Hill, MA 02467-2617
Phone (617) 754-6199

Other identifiers 1

IdentifierTypeStateIssuer
2078198MedicaidMA

Other names 1

  • Roberto Antonio Cruz Other name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address roberto.cruzgervis@nebmed.eclinicaldirectplus.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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 1

Enrollment IDStateProvider typePAC IDDetails
I20040823000982 MA Practitioner - Internal MedicinePractitioner - Pulmonary DiseasePractitioner - Critical Care (Intensivists) 1658355540 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Critical Care (Intensivists)
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
New England Baptist Medical Associates, Inc.Group PAC ID 2365439783, 77 clinicians

Practice addresses (Care Compare)

125 Parker Hill Ave
Boston, MA 02120-2847
Phone (617) 754-5800

46 N St
Suite 7
Hyannis, MA 02601-3845
Phone (508) 833-2639

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Medical Affiliates of Cape Cod, Inc. CurrentSince Mar 24, 2025 Accepting new patients
New England Baptist Medical Associates, Inc. Internal Medicine CurrentSince Jul 1, 2004 Accepting new patients
Physicians of Cape Cod Hospital Internal Medicine CurrentSince Nov 25, 2024 Accepting new patients
Medical Affiliates of Cape Cod, Inc. Internal Medicine CurrentSince Mar 24, 2025 Accepting new patients
Steward Medical Group, Inc Past Accepting new patients
James V. Bono, MD, PC Past Accepting new patients
Thomas a. Lamattina MD PC Past Accepting new patients
Marilyn Griffin, MD, PC Pulmonary Disease PastSince Feb 16, 2020 Accepting new patients

Locations

27 Park St
Hyannis, MA 02601
Phone (508) 775-5011

46 North St
Ste 7
Hyannis, MA 02601
Phone (508) 775-2295

125 Parker Hill Ave
Roxbury Xing, MA 02120
Phone (617) 264-1100

Interoperability endpoints

  • Direct secure messaging: rcruzgervis255374@direct.bilh.masshiway.net

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
New England Baptist HospitalBoston, MA, CCN 220088 Hospital Corporate Director
W-2 Managing Employee
Dec 1, 2021
Jul 14, 2004

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 8

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 3

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": "1137110400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626134400000",
    "number": "1649259060",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "132 ARLINGTON RD",
            "city": "CHESTNUT HILL",
            "state": "MA",
            "postal_code": "024672617",
            "telephone_number": "617-754-6199",
            "fax_number": "617-754-5938"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 PARKER HILL AVE STE 502",
            "city": "ROXBURY CROSSING",
            "state": "MA",
            "postal_code": "021202847",
            "telephone_number": "617-754-6199"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRUZ-GERVIS",
        "first_name": "ROBERTO",
        "middle_name": "ANTONIO",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-13",
        "last_updated": "2021-07-13",
        "certification_date": "2021-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "MA",
            "license": "220900",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2078198",
            "state": "MA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "roberto.cruzgervis@nebmed.eclinicaldirectplus.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "125 Parker Hill Ave Ste 502",
            "city": "Roxbury Crossing",
            "state": "MA",
            "country_code": "US",
            "postal_code": "021202847",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "ROBERTO",
            "last_name": "CRUZ",
            "middle_name": "ANTONIO",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Roxbury Crossing, MA

Sources for this page

Verify at the official NPI Registry.