MINNIE SHEILA L CRUZ-TOLENTINO MD
NPI 1093975237
Family Medicine in Leesburg, VA

Q: What is Minnie Sheila Cruz-tolentino's NPI number?

The NPI number for Minnie Sheila Cruz-tolentino is 1093975237. It was assigned to this individual provider in the NPPES registry on June 11, 2008.

Q: What is Minnie Sheila Cruz-tolentino's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Active since June 11, 2008PECOS EnrolledAccepts Medicare Assignment

62.13/100

CMS Quality Rating

1604 VILLAGE MARKET BLVD SE STE 119, LEESBURG, VA 20175(703) 777-9355(703) 783-5395 Get Directions Write a Review

NPPES record last updated: July 24, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Minnie Sheila L Cruz-tolentino Md NPPES

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

MINNIE SHEILA L CRUZ-TOLENTINO MD (NPI 1093975237) is an individual family medicine provider in Leesburg, Virginia, licensed in Virginia (0101260506) and active in the NPI registry since June 2008. She is enrolled in Medicare PECOS, maintains a secondary practice location in Leesburg, and is a graduate of Other (2003).

NPPES Registry Identity

NPI1093975237

Entity TypeIndividualFemale

Primary Taxonomy207Q00000X

Provider Legal NameMINNIE SHEILA L CRUZ-TOLENTINOCredential: MD

Location Address1604 VILLAGE MARKET BLVD SE STE 119Leesburg, VA 20175-4730

Mailing Address1604 Village Market Blvd Se Ste 119Leesburg, VA 20175-4730 · (703) 777-9355 · Fax (703) 783-5395

Phone(703) 777-9355

Fax(703) 783-5395

Sole ProprietorNo

Medical School CMSOtherGraduated 2003

Enumeration DateJune 11, 2008

Last NPPES UpdateJuly 24, 2024

NPPES CertifiedJuly 23, 2024

✔ NPI 1093975237 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in VA · 0101260506

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

1604 VILLAGE MARKET BLVD SE STE 119, Leesburg, VA 20175

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Secondary Practice Location 1

Location 1601 Potomac Station Dr NELeesburg, VA 20176-1816 · Phone (703) 840-1396

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Minnie Sheila L Cruz-tolentino 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 ID1153591730

PECOS Enrollment IDI20160801001644, I20160823001371

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.

Medicare Billing Reassignment

Medicare enrollment records show Minnie Sheila Cruz-tolentino reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Patient First Richmond Medical Group PLLC

98 mi

Family Medicine

5000 COX RD, SUITE 100
Glen Allen, VA 23060

Reassigned Medicare billing, District of Columbia and Virginia enrollments
263 clinicians in this Medicare group

NPI 1689603748 (804) 822-4355

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 9

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.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

35 services35 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

30 services29 patients

Insertion of needle into vein for collection of blood sample 36415

This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.

29 services28 patients

Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count 85025

A Complete Blood Cell Count is a common test that measures various components of the blood, including red cells (carry oxygen), white cells (fight infection), and platelets (help blood clot). An automated test ensures accuracy. The differential count provides detailed information about white cell types.

26 services25 patients

Blood test, basic group of blood chemicals (calcium, ionized) 80047

A basic group of blood chemicals test, including calcium and ionized, is a simple procedure where a small amount of blood is drawn from your arm. This test helps assess your body's overall health and detect potential disorders like kidney disease or bone disease.

24 services24 patients

X-ray of chest, 2 views 71046

A chest X-ray, 2 views, is a quick, painless test that creates pictures of the structures inside your chest, such as your heart, lungs, and blood vessels. Two different angles are used to get a comprehensive view. This helps in diagnosing conditions like pneumonia, heart problems, or lung cancer.

21 services21 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 20175 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

$86.88 typical visit price

range $56.19 – $170.30

Typical copayment $21.72 (range $14.04 – $42.57)

Most-billed visit code 99203

Established Patient

$99.13 typical visit price

range $18.07 – $138.91

Typical copayment $24.78 (range $4.51 – $34.72)

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.

62.13/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

72.43

Promoting Interoperability

Improvement Activities

Cost

84.66

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 Minnie Sheila Cruz-tolentino's NPI number?

The NPI number for Minnie Sheila Cruz-tolentino is 1093975237. It was assigned to this individual provider in the NPPES registry on June 11, 2008.

Where is Minnie Sheila Cruz-tolentino located?

Minnie Sheila Cruz-tolentino practices at 1604 Village Market Blvd SE Ste 119, Leesburg, VA 20175. The listed phone number is (703) 777-9355.

What is Minnie Sheila Cruz-tolentino's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Minnie Sheila Cruz-tolentino enrolled in Medicare?

Yes. Minnie Sheila Cruz-tolentino 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.

Which organization bills Medicare for Minnie Sheila Cruz-tolentino's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Minnie Sheila Cruz-tolentino reassigns Medicare benefits to Patient First Richmond Medical Group PLLC (Glen Allen, VA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Minnie Sheila Cruz-tolentino's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Minnie Sheila Cruz-tolentino was last updated on July 24, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.