LIDIA ESTHER CASTILLO CRUZ MD
NPI 1366023806
Internal Medicine in Louisville, KY

Q: What is Lidia Castillo Cruz's NPI number?

The NPI number for Lidia Castillo Cruz is 1366023806. It was assigned to this individual provider in the NPPES registry on April 16, 2021.

Q: What is Lidia Castillo Cruz's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Active since April 16, 2021PECOS EnrolledAccepts Medicare Assignment

12955 SHELBYVILLE RD STE 2, LOUISVILLE, KY 40243(502) 245-4301(502) 394-3632 Get Directions Write a Review

NPPES record last updated: July 2, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 2, 2024, Jun 26, 2024, Jun 6, 2024 and 1 more (4 updates tracked since 2021).

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About Lidia Esther Castillo Cruz Md NPPES

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

LIDIA ESTHER CASTILLO CRUZ MD (NPI 1366023806) is an individual internal medicine provider in Louisville, Kentucky, licensed in Kentucky (59333) and active in the NPI registry since April 2021. She is enrolled in Medicare PECOS, is affiliated with Norton Hospitals, Inc, and is a graduate of Other (2012).

NPPES Registry Identity

NPI1366023806

Entity TypeIndividualFemale

Primary Taxonomy207R00000X

Provider Legal NameLIDIA ESTHER CASTILLO CRUZCredential: MD

Location Address12955 SHELBYVILLE RD STE 2Louisville, KY 40243-1538

Mailing AddressPo Box 776351Chicago, IL 60677-6351 · (502) 559-9407 · Fax (502) 272-5339

Phone(502) 245-4301

Fax(502) 394-3632

Sole ProprietorNo

Medical School CMSOtherGraduated 2012

Enumeration DateApril 16, 2021

Last NPPES UpdateJuly 2, 20244 updates tracked since enumeration

NPPES CertifiedJuly 2, 2024

✔ NPI 1366023806 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

License✔ Licensed in KY · 59333

Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

12955 SHELBYVILLE RD STE 2, Louisville, KY 40243

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.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

Lidia Esther Castillo Cruz 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 ID5294272357

PECOS Enrollment IDI20240807000388

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 3

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 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.

39 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 services24 patients

Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439

An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.

20 services20 patients

Hospital Affiliations CMS Care Compare 2

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

Norton Hospitals, Inc

Acute Care Hospitals · Louisville, KY

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number180088

Location200 East Chestnut StreetLouisville, KY 40202 · Jefferson County

Emergency services Birthing friendly

Baptist Health Lagrange

Acute Care Hospitals · La Grange, KY

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number180138

Location1025 New Moody LaneLa Grange, KY 40031 · Oldham County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 40243 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

$122.77 typical visit price

range $52.76 – $162.27

Typical copayment $30.69 (range $13.19 – $40.56)

Most-billed visit code 99204

Established Patient

$93.94 typical visit price

range $16.53 – $131.99

Typical copayment $23.48 (range $4.13 – $32.99)

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.

Other Providers at the Same Location NPPES 2

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

SHAWNA L. KAUFFMAN

Family Medicine

12955 SHELBYVILLE RD STE 2
LOUISVILLE, KY 40243

Jefferson County (502) 245-4301

MRS. STEPHANIE PAIGE MCGEE MD

Family Medicine

12955 SHELBYVILLE RD STE 2
LOUISVILLE, KY 40243

Jefferson County (502) 245-4301

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 Lidia Castillo Cruz's NPI number?

The NPI number for Lidia Castillo Cruz is 1366023806. It was assigned to this individual provider in the NPPES registry on April 16, 2021.

Where is Lidia Castillo Cruz located?

Lidia Castillo Cruz practices at 12955 Shelbyville Rd Ste 2, Louisville, KY 40243. The listed phone number is (502) 245-4301.

What is Lidia Castillo Cruz's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Lidia Castillo Cruz enrolled in Medicare?

Yes. Lidia Castillo Cruz 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 Lidia Castillo Cruz accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian and CareSource list Lidia Castillo 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.

Is Lidia Castillo Cruz affiliated with any hospitals?

According to CMS data, Lidia Castillo Cruz is affiliated with Norton Hospitals, Inc and Baptist Health Lagrange.

When was this NPI record last updated?

The NPPES record for Lidia Castillo Cruz was last updated on July 2, 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.