Individual provider Active NPI

Manuel W Cruz, MD

  • Interventional Cardiology Physician
  • Dallas, TX
National Provider Identifier
1700833902
Registry record updated Nov 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
K8101 Issued in TX
Practice address
8150 N Central Expy
M1001
Dallas, TX 75206-1815
Phone
(214) 221-0022
Fax
(214) 691-8292
NPI assigned
May 31, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 15, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X K8101 TX
Interventional Cardiology Physician 207RI0011X K8101 TX Primary

Addresses

Primary practice location

8150 N Central Expy
M1001
Dallas, TX 75206-1815

Mailing address

8150 N Central Expy
M1001
Dallas, TX 75206-1815
Phone (214) 221-0022

Other identifiers 4

IdentifierTypeStateIssuer
060054456OtherRR MCARE
106141801MedicaidTX
4193049OtherTXBLULINK
106141802MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK, TX2 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

Enrollment IDStateProvider typePAC IDDetails
I20070628000210 OK Practitioner - Cardiovascular Disease (Cardiology) 9234140161 Reassigns benefits to 1 organization
I20110516000374 TX Practitioner - Cardiovascular Disease (Cardiology) 9234140161 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
Boston University School of Medicine, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Healthtexas Provider NetworkGroup PAC ID 1355254210, shared by 31 NPIs, 2,535 clinicians

Practice addresses (Care Compare)

4 SE Ave a
Idabel, OK 74745-4620
Phone (580) 208-2700

4001 Worth St
Dallas, TX 75246-1608

821 N Coleman St
Suite 100
Prosper, TX 75078-2339
Phone (469) 800-5200

Hospital & facility affiliations

  • Paris Regional Medical Center Hospital, Paris, TX, CCN 450196
  • Christus Mother Frances Hospital Sulphur Springs Hospital, Sulphur Springs, TX, CCN 450236
  • McCurtain Memorial Hospital Hospital, Idabel, OK, CCN 371342
  • Baylor Scott and White the Heart Hospital Corinth Hospital, Denton, TX, CCN 670347
  • Baylor Scott & White the Heart Hospital Plano Hospital, Plano, TX, CCN 670025

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting1-10
Pacemaker insertion or repair1-10
Varicose vein removal1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Healthtexas Provider Network Cardiovascular Disease CurrentSince Jan 15, 2024 Accepting new patients
Hopkins County Hospital District Current Accepting new patients
Healthtexas Provider Network CurrentSince Jan 15, 2024 Accepting new patients
Healthtexas Provider Network CurrentSince Feb 12, 2024 Accepting new patients
Healthtexas Provider Network Cardiovascular Disease Current Accepting new patients
Healthtexas Provider Network Past Accepting new patients

Locations

4 SE Avenue A
Idabel, OK 74745
Phone (580) 208-2700

4001 Worth St
#A
Dallas, TX 75246
Phone (214) 820-8665

821 N Coleman St
Ste 100
Prosper, TX 75078
Phone (469) 800-5200

Interoperability endpoints

  • Direct secure messaging: manuelcr@direct.hcmh.md
  • Direct secure messaging: mcruz457491@direct.sw.org

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 Aug 4, 2004
Baylor Scott & White the Heart Hospital - DentonDenton, TX, CCN 450893 Hospital General Partnership Interest Aug 4, 2004
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 7

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.

Hospital & facility affiliations 5

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": "1149033600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700006400000",
    "number": "1700833902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8150 N CENTRAL EXPY",
            "address_2": "M1001",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752061815",
            "telephone_number": "214-221-0022",
            "fax_number": "214-691-8292"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8150 N CENTRAL EXPY",
            "address_2": "M1001",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752061815",
            "telephone_number": "214-221-0022",
            "fax_number": "214-691-8292"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRUZ",
        "first_name": "MANUEL",
        "middle_name": "W",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-31",
        "last_updated": "2023-11-15",
        "certification_date": "2023-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "TX",
            "license": "K8101",
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "TX",
            "license": "K8101",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MCARE",
            "identifier": "060054456",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "106141801",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLULINK",
            "identifier": "4193049",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "106141802",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.