Active NPI
Maricruz Crespo, M.D.
- Pediatric Gastroenterology Physician
- Orlando, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Gastroenterology Physician
- License
- ME166670
- Practice address
- 60 W Gore St
Orlando, FL 32806-1141 - Phone
- (321) 841-3338
- Fax
- (321) 841-2170
- NPI assigned
- Jun 11, 2010
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Gastroenterology Physician | 2080P0206X | 35-121893 | OH | |
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Pediatric Gastroenterology Physician | 2080P0206X | ME166670 | FL | Primary |
Addresses
Primary practice location
60 W Gore St
Orlando, FL 32806-1141
Mailing address
60 W Gore St
Orlando, FL 32806-1141
Phone (321) 841-3338
Other practice location 1
11100 Euclid Avenue
University Hospitals Case Medical Center
Cleveland, OH 44106
Phone (216) 844-2273
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 122384800 | Medicaid | FL |
Other names 1
- Maricruz Jimenez-Perez
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH, FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160921000423 | OH | Practitioner - Pediatric Medicine | 6901193820 | Reassigns benefits to 2 organizations |
| I20240715002359 | FL | Practitioner - Pediatric Medicine | 6901193820 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Pediatric Medicine
- Education
- Other, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Orlando Health Medical Group Inc
Practice addresses (Care Compare)
60 W Gore St
Orlando, FL 32806-1141
Phone (407) 423-1039
Merit-based Incentive Payment System (MIPS)
- Final score
- 81.19 of 100
- Quality
- 63.13
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 74.18
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME166670 | FL | MD | Pediatric Gastroenterology Physician |
| 35-121893 | OH | MD | Pediatric Gastroenterology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Metrohealth System | Current | Accepting new patients | |
| The Metrohealth System | Current | Accepting new patients | |
| Orlando Health Medical Group Inc | Current | Accepting new patients | |
| The Metrohealth System | Current | Accepting new patients | |
| University Hospitals Medical Group Inc | Current | Accepting new patients | |
| Orlando Health Medical Group Inc | Current | Accepting new patients | |
| Multicare Health System | Past | Accepting new patients |
Locations
790 Concourse Pkwy S
Maitland, FL 32751
Phone (321) 841-4601
60 W Gore St
Orlando, FL 32806
Phone (321) 841-3338
32 W Gore St
Orlando, FL 32806
Phone (321) 841-3820
2500 Metrohealth Dr
Cleveland, OH 44109
Phone (216) 778-2348
11100 Euclid Ave
Cleveland Heights, OH 44106
20800 Harvard Rd
Fl 2
Highland Hills, OH 44122
Phone (216) 358-2156
Interoperability endpoints
- mcrespo36194@ehrdirect.uhhospitals.org
- mcrespo160918@direct.metrohealth.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.
-
- Multi-Specialty Clinic/Center
- Cleveland, OH
- NPI 1669499414
OH
-
- Durable Medical Equipment & Medical Supplies
- Winter Park, FL
- NPI 1265019541
-
- General Acute Care Hospital
- Cleveland, OH
- NPI 1700828852
-
- Pharmacy
- Cleveland, OH
- NPI 1992529911
-
- Nurse Practitioner
- Tacoma, WA
- NPI 1407808413
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1276214400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1725321600000",
"number": "1982924064",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "60 W GORE ST",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328061141",
"telephone_number": "321-841-3338",
"fax_number": "321-841-2170"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "60 W GORE ST",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328061141",
"telephone_number": "321-841-3338",
"fax_number": "321-841-2170"
}
],
"practiceLocations": [
{
"address_1": "11100 EUCLID AVENUE",
"address_2": "UNIVERSITY HOSPITALS CASE MEDICAL CENTER",
"address_purpose": "LOCATION",
"city": "CLEVELAND",
"state": "OH",
"postal_code": "44106",
"country_code": "US",
"telephone_number": "216-844-2273",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CRESPO",
"first_name": "MARICRUZ",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-06-11",
"last_updated": "2024-09-03",
"certification_date": "2024-09-03",
"status": "A"
},
"taxonomies": [
{
"code": "2080P0206X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Gastroenterology",
"state": "OH",
"license": "35-121893",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "2080P0206X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Gastroenterology",
"state": "FL",
"license": "ME166670",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "122384800",
"state": "FL"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "MARICRUZ",
"last_name": "JIMENEZ-PEREZ",
"credential": "M.D.",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Orlando, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.