DR. MANUEL OMAR CRUZ-DIAZ – Pediatric Urology Physician, NPI 1164696118
Pediatric Urology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
898 UROLOGY in FL
Provider Addresses for DR. MANUEL OMAR CRUZ-DIAZ
13535 Nemours Pkwy
Orlando, FL 328277402
Phone: (407) 650-7000
Fax: (407) 567-5924
Type: Location
258 S CHICKASAW TRL STE 202
ORLANDO, FL 328253501
Phone: (407) 303-6865
Type: Location
Driscoll Children's Hospital, 3533, South Alameda Street, Bay Area, Corpus Christi, Nueces County, Texas, 78411, United States
MCIVER FURMAN BUILDING, SUTE 301
CORPUS CHRISTI, TX 784111721
Phone: (361) 694-4718
Type: Mailing
Nemours Children's Hospital, 13535, Nemours Parkway, Medical City, Orlando, Orange County, Florida, 32827, United States
ORLANDO, FL 328277402
Phone: (407) 650-7000
Fax: (407) 567-5924
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2021-11-11
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20141122000106 | I | Urology | TX | TBD |
| I20211111001707 | I | Urology | FL | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 32827)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| H E M A T O L O G Y | PA | |
| Physician Assistant | FL | |
| N E U R O L O G Y | FL | |
| Nurse Practitioner | FL | |
| General Surgery | FL | |
| Pulmonary Disease, Critical Care (Intensivists) | FL | |
| O B S T E T R I C S/ G Y N E C O L O G Y | MI | |
| Physician Assistant | FL | |
| Physician Assistant | FL | |
| Physician Assistant | NY |
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