Individual provider Active NPI

Astini Sanjoto De la Cruz, M.D

  • Family Medicine Physician
  • Spring, TX
National Provider Identifier
1972038107
Registry record updated Dec 31, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
R9426 Issued in TX
Practice address
15882 Champion Forest Dr
Spring, TX 77379-7141
Phone
(281) 783-8162
NPI assigned
Apr 25, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 31, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X R9426 TX Primary

Addresses

Primary practice location

15882 Champion Forest Dr
Spring, TX 77379-7141

Mailing address

5749 San Felipe St
Houston, TX 77057-3101
Phone (281) 783-8162

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
I20201021001472 TX Practitioner - Family Practice 5698044394 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Texas Medical Branch at Galveston, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Nluc PLLCGroup PAC ID 3072752302, 219 clinicians

Practice addresses (Care Compare)

1246 N FM 3083 Rd W
Suite B
Conroe, TX 77304-5340
Phone (281) 783-8162

15882 Champion Forest Dr
Spring, TX 77379-7141
Phone (281) 783-8162

16312 Southwest Fwy
Sugar Land, TX 77479-2371
Phone (281) 783-8162

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R9426TXMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Next Level MV LLC CurrentSince Jul 3, 2020 Accepting new patients
Nluc PLLC Current Accepting new patients
Nluc PLLC CurrentSince Jul 3, 2020 Accepting new patients
Nluc PLLC CurrentSince Jul 3, 2020 Accepting new patients
Next Level MV LLC CurrentSince Jul 3, 2020 Accepting new patients
Nluc PLLC Dba Next Level Urgent Care Past Accepting new patients

Locations

7710 Garth Rd
Ste A
Baytown, TX 77521

6342 Phelan Blvd
Beaumont, TX 77706
Phone (281) 783-7182

1246 N FM 3083 Rd W
Ste B
Conroe, TX 77304

5749 San Felipe St
Houston, TX 77057
Phone (281) 362-7557

101 Winding Way St
Ste A
Lake Jackson, TX 77566

8325 Broadway St
Ste 220
Pearland, TX 77581
Phone (281) 873-8162

4002 FM 762 Rd
Ste 100
Rosenberg, TX 77469

5211 FM 2920 Rd
Ste 101
Spring, TX 77388

15882 Champion Forest Dr
Spring, TX 77379
Phone (281) 809-6615

16312 Southwest Fwy
Ste 18
Sugar Land, TX 77479

16107 Kensington Dr
Sugar Land, TX 77479
Phone (713) 513-7388

Organizations & group practices 6

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": "1493078400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1640908800000",
    "number": "1972038107",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5749 SAN FELIPE ST",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770573101",
            "telephone_number": "281-783-8162",
            "fax_number": "713-439-7995"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15882 CHAMPION FOREST DR",
            "city": "SPRING",
            "state": "TX",
            "postal_code": "773797141",
            "telephone_number": "281-783-8162"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DE LA CRUZ",
        "first_name": "ASTINI",
        "middle_name": "SANJOTO",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-04-25",
        "last_updated": "2021-12-31",
        "certification_date": "2021-12-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "R9426",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spring, TX

Sources for this page

Verify at the official NPI Registry.