DR. PAULINA CRUZ-VENEGAS MD
NPI 1376021642
Family Medicine in Atlanta, GA

Active since July 30, 2018PECOS EnrolledAccepts Medicare Assignment
90.8/100
CMS Quality Rating
1325 RALPH DAVID ABERNATHY BLVD SW, ATLANTA, GA 30310(404) 836-0136(404) 850-8695 Get Directions Write a Review

NPPES record last updated: July 27, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 27, 2023, Aug 9, 2022, Jul 9, 2019 and 1 more (4 updates tracked since 2018).

About Dr. Paulina Cruz-venegas Md NPPES

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

DR. PAULINA CRUZ-VENEGAS MD (NPI 1376021642) is an individual family medicine provider in Atlanta, Georgia, licensed in Georgia (92449) and active in the NPI registry since July 2018. She is enrolled in Medicare PECOS and is a graduate of Other (2013).

NPPES Registry Identity

NPI1376021642
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameDR. PAULINA CRUZ-VENEGASCredential: MD
Location Address1325 RALPH DAVID ABERNATHY BLVD SWAtlanta, GA 30310-1649
Mailing Address1325 Ralph David Abernathy Blvd SwAtlanta, GA 30310-1649 · (404) 836-0136 · Fax (404) 850-8695
Fax(404) 850-8695
Sole ProprietorYes
Medical School CMSOtherGraduated 2013
Enumeration DateJuly 30, 2018
Last NPPES UpdateJuly 27, 20234 updates tracked since enumeration
NPPES CertifiedJuly 27, 2023
NPI 1376021642 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in GA · 92449
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.
Also ListedGeneral PracticeTaxonomy 208D00000X · License 21037 (PR)
1325 RALPH DAVID ABERNATHY BLVD SW, Atlanta, GA 30310

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

Dr. Paulina Cruz-venegas 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 ID1557696580
PECOS Enrollment IDI20220810000948
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30310 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
$88.06 typical visit price
range $56.84 – $172.43
Typical copayment $22.01 (range $14.21 – $43.10)
Most-billed visit code 99203
Established Patient
$100.20 typical visit price
range $18.22 – $140.40
Typical copayment $25.05 (range $4.55 – $35.10)
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.

90.8/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Promoting Interoperability98
Improvement Activities20

Other Providers at the Same Location NPPES 9

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

Family Medicine
1325 RALPH DAVID ABERNATHY BLVD SW
ATLANTA, GA 30310
Family Medicine
1325 RALPH DAVID ABERNATHY BLVD SW
ATLANTA, GA 30310
Family Medicine
1325 RALPH DAVID ABERNATHY BLVD SW
ATLANTA, GA 30310
Specialist
1325 RALPH DAVID ABERNATHY BLVD SW
ATLANTA, GA 30310
Family Medicine
1325 RALPH DAVID ABERNATHY BLVD SW
ATLANTA, GA 30310
Family Medicine
1325 RALPH DAVID ABERNATHY BLVD SW
ATLANTA, GA 30310
Internal Medicine
1325 RALPH DAVID ABERNATHY BLVD SW
ATLANTA, GA 30310
Family Medicine
1325 RALPH DAVID ABERNATHY BLVD SW
ATLANTA, GA 30310

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 Paulina Cruz-venegas's NPI number?

The NPI number for Paulina Cruz-venegas is 1376021642. It was assigned to this individual provider in the NPPES registry on July 30, 2018.

Where is Paulina Cruz-venegas located?

Paulina Cruz-venegas practices at 1325 Ralph David Abernathy Blvd SW, Atlanta, GA 30310. The listed phone number is (404) 836-0136.

What is Paulina Cruz-venegas's specialty?

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

Is Paulina Cruz-venegas enrolled in Medicare?

Yes. Paulina Cruz-venegas 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.

When was this NPI record last updated?

The NPPES record for Paulina Cruz-venegas was last updated on July 27, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.