KRISTINE CRUZ (M.D.) – Family Medicine Physician, NPI 1730404476

KRISTINE CRUZ (M.D.) is a healthcare provider. based in Tohatchi, New Mexico. specializing in FAMILY PRACTICE. They hold the professional credentials M.D.. They hold a License No. 42.0012719 (VT). The NPI Number for KRISTINE CRUZ (M.D.) is 1730404476

Main info

Female
16 Years Of Experience
Accepts Medicare Assignment
Name
KRISTINE CRUZ (M.D.)
NPI
1730404476
Phone
(505) 733-8100
Address
PO BOX 142
Enumeration Date
6 April 2010
Last Update Date
31 December 2024

Doctor Profile

Medical School Name
RUSH MEDICAL COLLEGE OF RUSH UNIVERSITY
Secondary Phone
5057338413
Graduation Year
2010 (16 years ago)
PAC ID
3577798446
Group Practice PAC ID
3173436409
Professional Enrollment ID
I20131030001699
Address ID
NM873250000TO007XXDRXX300
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience65
Completeness75
Years active:16State licenses:2Digital endpointsOther names

1,002 FAMILY PRACTICE in NM

Provider Addresses for KRISTINE CRUZ (M.D.)

  • PO BOX 142

    TOHATCHI, NM 873250142

    Phone: (505) 733-8100

    Fax: (505) 733-2388

    Type: Mailing

  • PO BOX 467

    ZUNI, NM 873270467

    Phone: (505) 782-4431

    Fax: (505) 782-7405

    Type: Mailing

  • ROUTE 301 N 21 B AVE

    ZUNI, NM 873270467

    Phone: (505) 782-4431

    Fax: (505) 782-7405

    Type: Location

  • 516 E Nizhoni Blvd

    Gallup, NM 873015748

    Phone: (505) 722-1000

    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: 2013-10-30

PECOS data refreshed: 2026-06-15

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
I20131030001699IFamily PracticeTXTBD

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
99214Established patient office or other outpatient visit, 30-39 minutes7049$0
99213Established patient office or other outpatient visit, 20-29 minutes3428$0
99215Established patient office or other outpatient visit, 40-54 minutes1918$0
99442Telephone medical discussion with physician, 11-20 minutes1714$0
View full utilization report →

Insurance plans in this area (ZIP 87325)

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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: 3173436409View full group profile
NameSpecialtyState
Hospitalist, Internal MedicineMO
P O D I A T R YNM
-TX
-NM
Physician AssistantNM
-CO
Diagnostic RadiologyMI
Certified Registered Nurse Anesthetist (Crna)NM
-NM
Certified Registered Nurse Anesthetist (Crna)AZ

Reviews

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Frequently asked questions

What unique ID ties claims to KRISTINE CRUZ (M.D.)?
NPI 1730404476 is assigned to KRISTINE CRUZ (M.D.) under the national enumeration system.
Does this profile mean KRISTINE CRUZ (M.D.) is currently active?
Yes — KRISTINE CRUZ (M.D.) appears active in the national provider directory.
Can you summarize KRISTINE CRUZ (M.D.)'s specialty in plain language?
Clinically, the directory lists KRISTINE CRUZ (M.D.) with Family Medicine Physician. Clinical services aligned with this taxonomy classification.
What location metadata exists for KRISTINE CRUZ (M.D.)?
The page summarizes Tohatchi, New Mexico for KRISTINE CRUZ (M.D.); expand the address list for detail.
How can I contact KRISTINE CRUZ (M.D.)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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