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DR. MANUEL OMAR CRUZ-DIAZ
NPI 1164696118
Urology - Pediatric Urology in Orlando, FL

Active since April 21, 2008PECOS EnrolledAccepts Medicare Assignment
258 S CHICKASAW TRL STE 202, ORLANDO, FL 32825(407) 303-6865 Get Directions Write a Review

NPPES record last updated: March 12, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Manuel Omar Cruz-diaz NPPES

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

DR. MANUEL OMAR CRUZ-DIAZ (NPI 1164696118) is an individual pediatric urology provider in Orlando, Florida, licensed in Florida (ME117509) and active in the NPI registry since April 2008. He is enrolled in Medicare PECOS, is affiliated with Adventhealth Orlando, and maintains a secondary practice location in Orlando.

NPPES Registry Identity

NPI1164696118
Entity TypeIndividualMale
Primary Taxonomy2088P0231X
Provider Legal NameDR. MANUEL OMAR CRUZ-DIAZ
Location Address258 S CHICKASAW TRL STE 202Orlando, FL 32825-3501
Mailing Address258 S Chickasaw Trl Ste 202Orlando, FL 32825-3501 · (407) 303-6865
Phone(407) 303-6865
Sole ProprietorYes
Medical School CMSUniversity Of Puerto Rico School Of MedicineGraduated 2006
Enumeration DateApril 21, 2008
Last NPPES UpdateMarch 12, 2024
NPPES CertifiedMarch 12, 2024
✔ NPI 1164696118 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyUrology · Pediatric UrologyAllopathic & Osteopathic Physicians
Taxonomy Code2088P0231X
Licenses✔ Licensed in FL · ME117509✔ Licensed in TX · Q1584
Definition
Surgeons who can diagnose, treat, and manage children's urinary and genital problems. A pediatric urologist devotes a minimum of 50% of his or her practice to the urologic problems of infants, children, and adolescents. Pediatric urologists generally provide the following services: the evaluation and management of voiding disorders; vesicoureteral reflux, and urinary tract infections that require surgery; surgical reconstruction of the urinary tract (kidneys, ureters, and bladder) including genital abnormalities, hypospadias, and intersex conditions; surgery for groin conditions in childhood and adolescence (undescended testes, hydrocele/hernia, varicocele).
Also ListedGeneral PracticeTaxonomy 208D00000X · License 18056 (PR)
258 S CHICKASAW TRL STE 202, Orlando, FL 32825
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Secondary Practice Location 1

Location 113535 Nemours PkwyOrlando, FL 32827-7402 · Phone (407) 650-7000 · Fax (407) 567-5924

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Superior HealthPlan, Ambetter Health, Florida Blue (BlueCross BlueShield FL) and more.Insurance ›

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

Dr. Manuel Omar Cruz-diaz 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 ID3476875782
PECOS Enrollment IDI20211111001707
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 Reassignments

2

Medicare enrollment records show Manuel Cruz-diaz reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Florida Hospital Medical Group Inc
5.3 mi
Family Medicine
1115 E RIDGEWOOD ST
Orlando, FL 32803
  • Reassigned Medicare billing, Florida enrollment
  • 3,005 clinicians in this Medicare group
NPI 1225034234 (407) 841-1100
Children's Physician Services Of South Texas
984 mi
Plastic Surgery
3533 S ALAMEDA ST
Corpus Christi, TX 78411
  • Reassigned Medicare billing, Texas enrollment
  • 510 clinicians in this Medicare group
NPI 1568658227 (361) 694-4444

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

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.

Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes 99221
Initial hospital inpatient care refers to the first day of your stay in the hospital. This service typically includes a 30-minute check-up with a healthcare professional. They'll assess your health, discuss your condition, and plan your treatment. It's part of ensuring you receive the best possible care.
11 services11 patients

Hospital Affiliations CMS Care Compare

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

Adventhealth Orlando

Acute Care Hospitals · Orlando, FL
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100007
Location601 E Rollins StOrlando, FL 32803 · Orange County
Emergency services Birthing friendly

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. MARK R LICHT M.D.
Urology
258 S CHICKASAW TRL STE 202
ORLANDO, FL 32825
Orange County (407) 303-6865
NATHALIE IVI VARGAS APRN
Nurse Practitioner (Family)
258 S CHICKASAW TRL STE 202
ORLANDO, FL 32825
Orange County (407) 303-6865
STEPHEN C YU M.D.
Urology
258 S CHICKASAW TRL STE 202
ORLANDO, FL 32825
Orange County (407) 303-6865
SONJA RHAMES APRN
Nurse Practitioner (Family)
258 S CHICKASAW TRL STE 202
ORLANDO, FL 32825
Orange County (407) 303-6865
MAHER FADEL BLAIBEL MD
Urology
258 S CHICKASAW TRL STE 202
ORLANDO, FL 32825
Orange County (407) 303-6865
DENISE ELLIS AGAC-NP-BC
Nurse Practitioner (Gerontology)
258 S CHICKASAW TRL STE 202
ORLANDO, FL 32825
Orange County (407) 303-6865

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 Manuel Cruz-diaz's NPI number?

The NPI number for Manuel Cruz-diaz is 1164696118. It was assigned to this individual provider in the NPPES registry on April 21, 2008.

Where is Manuel Cruz-diaz located?

Manuel Cruz-diaz practices at 258 S Chickasaw Trl Ste 202, Orlando, FL 32825. The listed phone number is (407) 303-6865.

What is Manuel Cruz-diaz's specialty?

The primary specialty registered for this NPI is Urology, specializing in Pediatric Urology, with taxonomy code 2088P0231X.

Is Manuel Cruz-diaz enrolled in Medicare?

Yes. Manuel Cruz-diaz 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 organizations bill Medicare for Manuel Cruz-diaz's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Manuel Cruz-diaz reassigns Medicare benefits to 2 organizations: Florida Hospital Medical Group Inc (Orlando, FL) and Children's Physician Services Of South Texas (Corpus Christi, TX). Each 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 Manuel Cruz-diaz's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Manuel Cruz-diaz accept?

Health plans from Ambetter Health, Ambetter from Superior HealthPlan, Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company) and Health First Commercial Plans, Inc. and 2 other insurers list Manuel Cruz-diaz 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 Manuel Cruz-diaz affiliated with any hospitals?

According to CMS data, Manuel Cruz-diaz is affiliated with Adventhealth Orlando.

When was this NPI record last updated?

The NPPES record for Manuel Cruz-diaz was last updated on March 12, 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.