BRENDA M CRUCIANI MD
NPI 1043770647
Hospitalist in Humble, TX

Active since March 21, 2019PECOS EnrolledAccepts Medicare Assignment
95.11/100
CMS Quality Rating
18951 N MEMORIAL DR # 103W, HUMBLE, TX 77338(281) 540-8409(281) 540-7109 Get Directions Write a Review

NPPES record last updated: October 18, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 8, 2024, Mar 4, 2024, Mar 21, 2019 (3 updates tracked since 2019).

About Brenda M Cruciani Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BRENDA M CRUCIANI MD (NPI 1043770647) is an individual hospitalist provider in Humble, Texas, licensed in Texas (V0715) and active in the NPI registry since March 2019. She is enrolled in Medicare PECOS, is affiliated with Memorial Hermann Northeast Hospital, and maintains a secondary practice location in Norfolk.

NPPES Registry Identity

NPI1043770647
Entity TypeIndividualFemale
Primary Taxonomy208M00000X
Provider Legal NameBRENDA M CRUCIANICredential: MD
Location Address18951 N MEMORIAL DR # 103WHumble, TX 77338-4217
Mailing Address830 Kempsville Rd Fl 1Norfolk, VA 23502-3920 · (757) 261-8070
Fax(281) 540-7109
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateMarch 21, 2019
Last NPPES UpdateOctober 18, 20243 updates tracked since enumeration
NPPES CertifiedOctober 18, 2024
NPI 1043770647 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians
Taxonomy Code208M00000X
Licenses Licensed in TX · V0715 Licensed in VA · 0101275450
Definition
Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.
Also ListedInternal MedicineTaxonomy 207R00000X · License 0101275450 (VA)
18951 N MEMORIAL DR # 103W, Humble, TX 77338

Other Names 1

Other Name (5)Brenda Moura Cruciani Md

Secondary Practice Location 1

Location 1830 Kempsville Rd Fl 1Norfolk, VA 23502-3920 · Phone (757) 261-8070

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Brenda M Cruciani Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7810225018
PECOS Enrollment IDI20241002002984
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
540 services211 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
96 services94 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
84 services40 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
66 services65 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Memorial Hermann Northeast Hospital

Acute Care Hospitals · Humble, TX
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450684
Location18951 Memorial NorthHumble, TX 77338 · Harris County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 77338 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$134.06 typical visit price
range $58.24 – $176.98
Typical copayment $33.51 (range $14.56 – $44.24)
Most-billed visit code 99204
Established Patient
$102.71 typical visit price
range $18.60 – $143.93
Typical copayment $25.67 (range $4.65 – $35.98)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

95.11/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality86.31
Promoting Interoperability100
Improvement Activities40

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Brenda Cruciani's NPI number?

The NPI number for Brenda Cruciani is 1043770647. It was assigned to this individual provider in the NPPES registry on March 21, 2019. The provider is also known as Brenda Moura Cruciani MD.

Where is Brenda Cruciani located?

Brenda Cruciani practices at 18951 N Memorial Dr # 103W, Humble, TX 77338. The listed phone number is (281) 540-8409.

What is Brenda Cruciani's specialty?

The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.

Is Brenda Cruciani enrolled in Medicare?

Yes. Brenda Cruciani is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Brenda Cruciani accept?

Health plans from Blue Cross and Blue Shield of Texas and Community Health Choice list Brenda Cruciani as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Brenda Cruciani affiliated with any hospitals?

According to CMS data, Brenda Cruciani is affiliated with Memorial Hermann Northeast Hospital.

When was this NPI record last updated?

The NPPES record for Brenda Cruciani was last updated on October 18, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.