Active NPI
Cruz Martin Cardenas Jr.
- Physician Assistant
- Edinburg, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA17067
- Practice address
- 2821 Michaelangelo Dr Ste 204
Edinburg, TX 78539-1423 - Phone
- (956) 362-8290
- Fax
- (956) 362-8295
- NPI assigned
- Jul 1, 2022
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA17067 | TX | Primary |
Addresses
Primary practice location
2821 Michaelangelo Dr Ste 204
Edinburg, TX 78539-1423
Mailing address
PO Box 749
Pharr, TX 78577-1614
Phone (956) 362-8290
Other practice location 1
2821 Michaelangelo Dr Ste 200
Edinburg, TX 78539-1406
Phone (956) 362-8289
Other practice location 2
1201 W University Dr
Edinburg, TX 78539-2909
Phone (956) 665-7049
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2821 W Michaelangelo Dr
Edinburg, TX 78539-1405
5501 S McColl Rd
Edinburg, TX 78539-5503
Phone (956) 362-2171
Hospital & facility affiliations
- Doctors Hosptal at Renaissance
Merit-based Incentive Payment System (MIPS)
- Final score
- 98.1 of 100
- Quality
- 86
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Arts, Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Doctors Hospital at Renaissance, LTD | Past | Accepting new patients |
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.
-
- Internal Medicine Physician
- Edinburg, TX
- NPI 1467633867
-
- Adult Reconstructive Orthopaedic Surgery Physician
- Edinburg, TX
- NPI 1366557548
-
- Multi-Specialty Clinic/Center
- Edinburg, TX
- NPI 1710600556
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Edinburg, TX
- NPI 1053317362
-
- Transplant Surgery Physician
- McAllen, TX
- NPI 1104338052
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1656633600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1697155200000",
"number": "1659004109",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 749",
"city": "PHARR",
"state": "TX",
"postal_code": "785771614",
"telephone_number": "956-362-8290",
"fax_number": "956-362-8295"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2821 MICHAELANGELO DR STE 204",
"city": "EDINBURG",
"state": "TX",
"postal_code": "785391423",
"telephone_number": "956-362-8290",
"fax_number": "956-362-8295"
}
],
"practiceLocations": [
{
"address_1": "2821 Michaelangelo Dr Ste 200",
"address_purpose": "LOCATION",
"city": "Edinburg",
"state": "TX",
"postal_code": "785391406",
"country_code": "US",
"telephone_number": "956-362-8289",
"fax_number": "956-362-8295",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1201 W University Dr",
"address_purpose": "LOCATION",
"city": "Edinburg",
"state": "TX",
"postal_code": "785392909",
"country_code": "US",
"telephone_number": "956-665-7049",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CARDENAS",
"first_name": "CRUZ",
"middle_name": "MARTIN",
"name_suffix": "Jr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-07-01",
"last_updated": "2023-10-13",
"certification_date": "2023-10-13",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "TX",
"license": "PA17067",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Edinburg, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2023; 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.