Individual provider Active NPI

Susan M Santa Cruz, MD

  • Internal Medicine Physician
  • Little Rock, AR
National Provider Identifier
1881788453
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
C5585 Issued in AR
Practice address
1100 North University
Suite 125
Little Rock, AR 72207-6356
Phone
(501) 664-1540
Fax
(501) 663-9665
NPI assigned
Oct 3, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X C5585 AR Primary

Addresses

Primary practice location

1100 North University
Suite 125
Little Rock, AR 72207-6356

Mailing address

1100 North University
Suite 125
Little Rock, AR 72207-6356
Phone (501) 664-1540

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR
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
I20090616000138 AR Practitioner - Internal Medicine 6901700228 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
C5585ARMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Arkansas Palliative Care, LLC CurrentSince Feb 1, 2016 Accepting new patients

Locations

14 Parkstone Cir
#C
North Little Rock, AR 72116
Phone (501) 748-3333

14 Parkstone Cir
North Little Rock, AR 72116
Phone (501) 748-3333

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

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": "1159833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1881788453",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 NORTH UNIVERSITY",
            "address_2": "SUITE 125",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722076356",
            "telephone_number": "501-664-1540",
            "fax_number": "501-663-9665"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 NORTH UNIVERSITY",
            "address_2": "SUITE 125",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722076356",
            "telephone_number": "501-664-1540",
            "fax_number": "501-663-9665"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANTA CRUZ",
        "first_name": "SUSAN",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-03",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AR",
            "license": "C5585",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Little Rock, AR

Sources for this page

Verify at the official NPI Registry.