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NIDSA I MARTIR CRUZ MD PA
NPI 1356659502
Psychiatry & Neurology - Neurology in Leesburg, FL

Active since September 22, 2010
26540 ACE AVE STE H103, LEESBURG, FL 34748(352) 323-0888(352) 323-9103 Get Directions Write a Review

NPPES record last updated: June 5, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Nidsa I Martir Cruz Md Pa NPPES

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

NIDSA I MARTIR CRUZ MD PA (NPI 1356659502) is a healthcare organization registered as a neurology in Leesburg, Florida and active in the NPI registry since September 2010. The organization lists Nidsa I Martir Cruz, Owner, as its authorized official.

NPPES Registry Identity

NPI1356659502
Entity TypeOrganization
Primary Taxonomy2084N0400X
Legal Business NameNIDSA I MARTIR CRUZ MD PA
Location Address26540 ACE AVE STE H103Leesburg, FL 34748-8279
Mailing AddressPo Box 490918Leesburg, FL 34749-0918 · (352) 323-0888 · Fax (352) 323-9103
Phone(352) 323-0888
Fax(352) 323-9103
Organization SubpartNo
Authorized OfficialNidsa I Martir CruzOwner · (352) 323-0888
Enumeration DateSeptember 22, 2010
Last NPPES UpdateJune 5, 2024
NPPES CertifiedJune 5, 2024
✔ NPI 1356659502 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · NeurologyAllopathic & Osteopathic Physicians
Taxonomy Code2084N0400X
License✔ Licensed in FL · ME0063164
Definition
A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
26540 ACE AVE STE H103, Leesburg, FL 34748
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Other Identifiers 1

Medicaid371597300FL

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Nidsa I Martir Cruz Md Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Nidsa I Martir Cruz MD PA, which bills Medicare for the services this clinician delivers.

Clinician (1)

Nidsa Martir Cruz, MD
Neurology
NPI 1346275369
26540 ACE AVE STE H103
Leesburg, FL 34748
(352) 323-0888
✔ PECOS✔ Accepts MedicareSame address

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

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 Nidsa I Martir Cruz MD PA's NPI number?

The NPI number for Nidsa I Martir Cruz MD PA is 1356659502. It was assigned to this organization in the NPPES registry on September 22, 2010.

Where is Nidsa I Martir Cruz MD PA located?

Nidsa I Martir Cruz MD PA is located at 26540 Ace Ave Ste H103, Leesburg, FL 34748. The listed phone number is (352) 323-0888.

What is Nidsa I Martir Cruz MD PA's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

Is Nidsa I Martir Cruz MD PA enrolled in Medicare?

Yes. Nidsa I Martir Cruz MD PA is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Nidsa I Martir Cruz MD PA?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Neurology) reassigns their Medicare billing to Nidsa I Martir Cruz MD PA. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Nidsa I Martir Cruz MD PA was last updated on June 5, 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.