RICARDO CRUZ (D.O.) – Family Medicine Physician, NPI 1104236215

RICARDO CRUZ (D.O.) is a healthcare provider. based in Las vegas, Nevada. specializing in FAMILY PRACTICE. They hold the professional credentials D.O.. They hold a License No. DO2056 (NV). The NPI Number for RICARDO CRUZ (D.O.) is 1104236215

Main info

Male
Sole Proprietor
12 Years Of Experience
Accepts Medicare Assignment
Name
RICARDO CRUZ (D.O.)
NPI
1104236215
Phone
(702) 388-8436
Address
620 Shadow Lane
Enumeration Date
29 April 2014
Last Update Date
21 July 2022

Doctor Profile

Medical School Name
TOURO UN COL OF OSTEOPATHIC MEDICINE, HENDERSON
Secondary Phone
7024348880
Graduation Year
2014 (12 years ago)
PAC ID
2466779434
Group Practice PAC ID
8628163201
Professional Enrollment ID
I20170810003673
Address ID
NV891032209LA3750XBLVD402
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience42
Completeness75
Years active:12State licenses:2Digital endpointsOther names

992 FAMILY PRACTICE in NV

Provider Addresses for RICARDO CRUZ (D.O.)

  • 620 Shadow Lane

    Las Vegas, NV 891064194

    Phone: (702) 388-8436

    Fax: (702) 388-8431

    Type: Location

  • PO BOX 35380

    LAS VEGAS, NV 891335380

    Phone: (702) 579-3270

    Fax: (702) 242-1535

    Type: Mailing

  • 888 S RANCHO DR

    LAS VEGAS, NV 891063810

    Phone: (702) 877-8600

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 80 Open Payments records for all available years, with a total value of $2,733.

Total Amount is formed as General ($2,233) + Research ($500) + Ownership ($0) = $2,733.

Last reported payment date: 2024-11-15 • Largest payer in this snapshot: Lucid Diagnostics Inc. ($642).

Total Amount

$2,733

General + Research + Ownership

Payments

80

Total payment records

General Amount

$2,233

General payments

Research Amount

$500

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-15

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2017-08-10

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20170810003673IFamily PracticeNVTBD

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.

Verify on CMS Revalidation Lookup Tool

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99213Established patient office or other outpatient visit, 20-29 minutes1616$0
View full utilization report →

Insurance plans in this area (ZIP 89106)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 8628163201View full group profile
NameSpecialtyState
Internal MedicineNV
Physician AssistantNV
Internal MedicineNV
Family PracticeNV
Physician AssistantNV
Family Practice, General SurgeryNV

Reviews

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Frequently asked questions

Where can patients find RICARDO CRUZ (D.O.)'s NPI?
You can confirm RICARDO CRUZ (D.O.) with NPI 1104236215; it appears in the national provider directory.
Is RICARDO CRUZ (D.O.) active in the national directory?
RICARDO CRUZ (D.O.)'s public NPI profile is in an active state.
What kind of provider is RICARDO CRUZ (D.O.)?
The page reflects Family Medicine Physician for RICARDO CRUZ (D.O.). Clinical services aligned with this taxonomy classification.
Where is RICARDO CRUZ (D.O.)'s primary listing?
We display Las Vegas, Nevada because that is what the record indicates for RICARDO CRUZ (D.O.).
What if Las Vegas, Nevada seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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