NPIMap

Individual provider Active NPI

Carlos P Cruz, M D

  • Vascular Surgery Physician
  • Denton, TX
National Provider Identifier
1700809480
Registry record updated Jan 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Surgery PhysicianTaxonomy code 2086S0129X
License
L8024 Issued in TX
Practice address
3322 Colorado Blvd
Suite 101
Denton, TX 76210-6888
Phone
(940) 387-7588
Fax
(940) 566-0881
NPI assigned
Jul 25, 2006
Last updated
Jan 25, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular Surgery Physician 2086S0129X L8024 TX Primary

Addresses

Primary practice location

3322 Colorado Blvd
Suite 101
Denton, TX 76210-6888

Mailing address

3322 Colorado Blvd
Suite 101
Denton, TX 76210-6888
Phone (940) 387-7588

Other identifiers 2

IdentifierTypeStateIssuer
8K7640OtherTXBLUE CROSS OF TEXAS
164196101MedicaidTX

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address CARLOS.CRUZ@hca7.eclinicaldirectplus.com

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
I20040419001173 TX Practitioner - Vascular SurgeryPractitioner - General SurgeryPractitioner - Peripheral Vascular Disease 9133114051 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Vascular SurgeryAlso: General Surgery
Education
University of Texas Medical Branch at Galveston, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Surgery Associates of NTX PLLCGroup PAC ID 7810219375, 50 clinicians

Practice addresses (Care Compare)

3322 Colorado Blvd
Suite 101
Denton, TX 76210-6889
Phone (940) 387-7588

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
88.44 of 100Reported as individual
Quality
80.51
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Leg revascularization (restoring blood flow)41
Removal of tissue1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Surgery Associates of NTX, PLLC Vascular Surgery CurrentSince Nov 1, 2014 Accepting new patients
Denton Vascular Lab Inc CurrentSince Jun 1, 2007 Accepting new patients
Columbia Medical Center of Denton Subsidiary LP Past Accepting new patients

Locations

2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426

3322 Colorado Blvd
Ste 101
Denton, TX 76210
Phone (817) 387-7588

3537 S Interstate 35 E
Ste 305
Denton, TX 76210
Phone (940) 384-4595

4401 Booth Calloway Rd
Richland Hls, TX 76180
Phone (817) 255-1000

Interoperability endpoints

  • Direct secure messaging: carlos.cruz@hca7.eclinicaldirectplus.com

Ownership & related parties

All facility ownership & control disclosures 4

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

FacilityTypeRoleSince
Baylor Scott & White the Heart Hospital - PlanoPlano, TX, CCN 670025 Hospital General Partnership Interest Nov 21, 2013
Baylor Scott & White the Heart Hospital - DentonDenton, TX, CCN 450893 Hospital General Partnership Interest Nov 21, 2013
Baylor Scott & White the Heart Hospital RehabilitationDenton, TX, CCN 67T347 Hospital General Partnership Interest Nov 1, 2024
Baylor Scott & White the Heart Hospital - CorinthDenton, TX, CCN 670347 Hospital General Partnership Interest Nov 1, 2024

Owned or controlled facilities with NPI records 4

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

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 4

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": "1153785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643068800000",
    "number": "1700809480",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3322 COLORADO BLVD",
            "address_2": "SUITE 101",
            "city": "DENTON",
            "state": "TX",
            "postal_code": "762106888",
            "telephone_number": "940-387-7588",
            "fax_number": "940-566-0881"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3322 COLORADO BLVD",
            "address_2": "SUITE 101",
            "city": "DENTON",
            "state": "TX",
            "postal_code": "762106888",
            "telephone_number": "940-387-7588",
            "fax_number": "940-566-0881"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRUZ",
        "first_name": "CARLOS",
        "middle_name": "P",
        "credential": "M D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-25",
        "last_updated": "2022-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "TX",
            "license": "L8024",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS OF TEXAS",
            "identifier": "8K7640",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "164196101",
            "state": "TX"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "CARLOS.CRUZ@hca7.eclinicaldirectplus.com",
            "affiliation": "N",
            "address_1": "3322 Colorado Blvd",
            "address_2": "SUITE 101",
            "city": "Denton",
            "state": "TX",
            "country_code": "US",
            "postal_code": "762106888",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Denton, TX

Sources for this page

Verify at the official NPI Registry.