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RIZA CRUZ M.D.
NPI 1174933030
Family Medicine in Baton Rouge, LA

Active since April 30, 2014PECOS Enrolled
170 MCGEHEE DR, BATON ROUGE, LA 70815(225) 754-5100 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Riza Cruz M.d. NPPES

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

RIZA CRUZ M.D. (NPI 1174933030) is an individual family medicine provider in Baton Rouge, Louisiana, licensed in Louisiana (306315) and active in the NPI registry since April 2014. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1174933030
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameRIZA CRUZCredential: M.D.
Location Address170 MCGEHEE DRBaton Rouge, LA 70815-5012
Mailing Address1514 Jefferson HwyNew Orleans, LA 70121-2429 · (504) 842-4000
Phone(225) 754-5100
Sole ProprietorNo
Enumeration DateApril 30, 2014
Last NPPES UpdateJuly 21, 2022
✔ NPI 1174933030 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses✔ Licensed in LA · 306315✔ Licensed in TX · AT5828009-955
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.
170 MCGEHEE DR, Baton Rouge, LA 70815
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include HMO Louisiana.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Riza Cruz M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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

5

Medicare enrollment records show Riza Cruz reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Ochsner Clinic LLC
3.2 mi
General Practice
8150 JEFFERSON HWY
Baton Rouge, LA 70809
  • Reassigned Medicare billing, Louisiana enrollment
  • 4,559 clinicians in this Medicare group
NPI 1558560581 (504) 842-3000
Mayfair Physician Services, LLC
4.0 mi
Hospitalist
17000 MEDICAL CENTER DR
Baton Rouge, LA 70816
  • Reassigned Medicare billing, Louisiana enrollment
  • 156 clinicians in this Medicare group
NPI 1831688365 (225) 752-2470
Hospitalist Medicine Physicians Of Texas, PLLC
254 mi
Internal Medicine
18951 N MEMORIAL DR
Humble, TX 77338
  • Reassigned Medicare billing, Louisiana enrollment
  • 169 clinicians in this Medicare group
NPI 1629307095 (281) 540-7700
Cogent Healthcare Of Texas, PA
375 mi
Internal Medicine
8200 WALNUT HILL LN
Dallas, TX 75231
  • Reassigned Medicare billing, Louisiana enrollment
  • 92 clinicians in this Medicare group
NPI 1992722953 (214) 345-7585
Concord Medical Group PLLC
669 mi
Emergency Medicine
1602 AVENUE Q
Lubbock, TX 79401
  • Reassigned Medicare billing, Texas enrollment
  • 1,338 clinicians in this Medicare group
NPI 1083630610 (888) 264-0330

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 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 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.
146 services77 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.
87 services84 patients
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.
60 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.
21 services20 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 70815 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
$83.60 typical visit price
range $53.43 – $164.73
Typical copayment $20.90 (range $13.35 – $41.18)
Most-billed visit code 99203
Established Patient
$95.09 typical visit price
range $16.64 – $133.62
Typical copayment $23.77 (range $4.16 – $33.40)
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.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
3 suppliers73 claims73 services$16.38 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
3 suppliers57 claims57 services$74.40 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 4

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

HILL MEDICAL ASSOCIATES
Family Medicine
170 MCGEHEE DR
BATON ROUGE, LA 70815
East Baton Rouge Parish (225) 275-7770
RACHEL DREISBACH WISSNER MD
Family Medicine
170 MCGEHEE DR
BATON ROUGE, LA 70815
East Baton Rouge Parish (225) 272-3246
DR. JOSEPH LOUIS TONORE JR. MD
Family Medicine
170 MCGEHEE DR
BATON ROUGE, LA 70815
East Baton Rouge Parish (225) 272-3246
OCHSNER CLINIC LLC
General Practice
170 MCGEHEE DR
BATON ROUGE, LA 70815
East Baton Rouge Parish (225) 236-0233

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 Riza Cruz's NPI number?

The NPI number for Riza Cruz is 1174933030. It was assigned to this individual provider in the NPPES registry on April 30, 2014.

Where is Riza Cruz located?

Riza Cruz practices at 170 Mcgehee Dr, Baton Rouge, LA 70815. The listed phone number is (225) 754-5100.

What is Riza Cruz's specialty?

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

Is Riza Cruz enrolled in Medicare?

Yes. Riza Cruz is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Riza Cruz's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Riza Cruz reassigns Medicare benefits to 5 organizations: Ochsner Clinic LLC (Baton Rouge, LA), Mayfair Physician Services, LLC (Baton Rouge, LA), Hospitalist Medicine Physicians Of Texas, PLLC (Humble, TX), Cogent Healthcare Of Texas, PA (Dallas, TX) and Concord Medical Group PLLC (Lubbock, 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 Riza Cruz's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Riza Cruz accept?

Health plans from HMO Louisiana list Riza Cruz 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.

When was this NPI record last updated?

The NPPES record for Riza Cruz was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.