Individual provider Active NPI

Erwin A Cruz, MD

  • Specialist
  • Dallas, TX
National Provider Identifier
1952308231
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
H5860 Issued in TX
Practice address
12800 Preston Rd
Ste 101
Dallas, TX 75230-1366
Phone
(972) 503-2780
Fax
(972) 503-2783
NPI assigned
Jul 1, 2005
Sex
Male
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
Specialist 174400000X H5860 TX Primary

Addresses

Primary practice location

12800 Preston Rd
Ste 101
Dallas, TX 75230-1366

Mailing address

PO Box 1313
Addison, TX 75001-1313
Phone (972) 991-9950

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050616000443 TX Practitioner - Neurology 7719945393 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Other, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Select Physical Therapy of West Denver Limited PartnershipGroup PAC ID 6709771157, shared by 5 NPIs, 530 clinicians

Practice addresses (Care Compare)

12800 Preston Rd
Suite 101
Dallas, TX 75230-1366
Phone (972) 503-2780

406 E Grace Ave
Select Physical Therapy
Woodland Park, CO 80863-3127
Phone (719) 687-3767

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
H5860TXMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Erwin a. Cruz, MD, PA Specialist CurrentSince May 1, 2003 Accepting new patients
Wellness Vida Center LLC PastSince Jul 21, 2014 Accepting new patients
Advanced Microsurgery of the Spine, P.a. Specialist Past Accepting new patients
Denton Texas Health Management, PLLC Past Accepting new patients
Donald M Mauldin, MD, Assoc Specialist Past Accepting new patients
Physicians and Allied Health Professionals Group, PA Past Accepting new patients
A Medical Advantage Healthcare Systems Associated Past Accepting new patients

Locations

12900 Preston Rd
Ste 305
Dallas, TX 75230
Phone (214) 792-9910

12800 Preston Rd
Ste 101
Dallas, TX 75230
Phone (972) 503-2780

Interoperability endpoints

  • Direct secure messaging: dmcecruz@yourcarecommunity.org

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.

NPI Registry JSON

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

{
    "created_epoch": "1120176000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1952308231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1313",
            "city": "ADDISON",
            "state": "TX",
            "postal_code": "750011313",
            "telephone_number": "972-991-9950",
            "fax_number": "972-991-9548"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12800 PRESTON RD",
            "address_2": "STE 101",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752301366",
            "telephone_number": "972-503-2780",
            "fax_number": "972-503-2783"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRUZ",
        "first_name": "ERWIN",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-01",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "TX",
            "license": "H5860",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.