JOSUE CRUZ – Physician Assistant, NPI 1801621123

JOSUE CRUZ is a healthcare provider. based in Dallas, Texas. specializing in PHYSICIAN ASSISTANT. The NPI Number for JOSUE CRUZ is 1801621123

Main info

Male
2 Years Of Experience
Accepts Medicare Assignment
Name
JOSUE CRUZ
NPI
1801621123
Phone
(214) 645-8800
Address
5323 HARRY HINES BLVD
Enumeration Date
5 September 2024
Last Update Date
19 March 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9035582222
Graduation Year
2024 (2 years ago)
PAC ID
3971027566
Group Practice PAC ID
7618381054
Professional Enrollment ID
I20250404000456
Address ID
TX754822199SU1402XDRXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience17
Completeness75
Years active:1State licenses:0Digital endpointsOther names

8,491 PHYSICIAN ASSISTANT in TX

Provider Addresses for JOSUE CRUZ

  • 5323 HARRY HINES BLVD

    DALLAS, TX 753907208

    Phone: (214) 645-8800

    Fax: (214) 645-8801

    Mailing address matches the actual address.

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: 2025-04-04

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
I20250404000456IPhysician AssistantTXTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 75390)

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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: 7618381054View full group profile
NameSpecialtyState
G A S T R O E N T E R O L O G YTX
Gastroenterology, Internal MedicineTX

Reviews

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Frequently asked questions

What NPI should I save for JOSUE CRUZ?
Save NPI 1801621123 if you need a stable reference for JOSUE CRUZ.
Does this profile mean JOSUE CRUZ is currently active?
Yes — JOSUE CRUZ appears active in the national provider directory.
What kind of provider is JOSUE CRUZ?
The page reflects Physician Assistant for JOSUE CRUZ. Clinical services aligned with this taxonomy classification.
What location shows for JOSUE CRUZ?
We surface Dallas, Texas for JOSUE CRUZ based on available NPPES addresses.
How can I contact JOSUE CRUZ?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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