NPIMap

Individual provider Active NPI

Eldie Levi Cruz, MD

  • Surgery Physician
  • Albuquerque, NM
National Provider Identifier
1851430870
Registry record updated Feb 17, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
MD2013-0287 Issued in NM
Practice address
715 Dr Martin Luther King NE
301
Albuquerque, NM 87102-2567
Phone
(505) 727-7090
Fax
(505) 727-7099
NPI assigned
Feb 6, 2007
Last updated
Feb 17, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 17, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X MD60072876 WA
Surgery Physician 208600000X MD2013-0287 NM Primary

Addresses

Primary practice location

715 Dr Martin Luther King NE
301
Albuquerque, NM 87102-2567

Mailing address

715 Dr Martin Luther King NE
301
Albuquerque, NM 87102-2567
Phone (505) 727-7090

Other identifiers 1

IdentifierTypeStateIssuer
69586764MedicaidNM

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD2013-0287NMMDSurgery Physician
MD60072876WAMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lovelace Health System, Inc. Surgery Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1170720000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1455667200000",
    "number": "1851430870",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "715 DR MARTIN LUTHER KING NE",
            "address_2": "301",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871022567",
            "telephone_number": "505-727-7090",
            "fax_number": "505-727-7099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "715 DR MARTIN LUTHER KING NE",
            "address_2": "301",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871022567",
            "telephone_number": "505-727-7090",
            "fax_number": "505-727-7099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRUZ",
        "first_name": "ELDIE",
        "middle_name": "LEVI",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-06",
        "last_updated": "2016-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "WA",
            "license": "MD60072876",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NM",
            "license": "MD2013-0287",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "69586764",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Albuquerque, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.