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ELAINE CRUZ D.O.
NPI 1407177983
Internal Medicine in Cleveland, OH

Active since June 18, 2010PECOS EnrolledAccepts Medicare Assignment
2500 METROHEALTH DR, CLEVELAND, OH 44109(216) 778-7800 Get Directions Write a Review

NPPES record last updated: December 27, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Dec 27, 2021, Jan 11, 2018 (2 updates tracked since 2018).

About Elaine Cruz D.o. NPPES

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

ELAINE CRUZ D.O. (NPI 1407177983) is an individual internal medicine provider in Cleveland, Ohio, licensed in Ohio (34011447) and active in the NPI registry since June 2010. She is enrolled in Medicare PECOS, is affiliated with Metrohealth System, and is a graduate of Chicago College Of Osteopathy (2010).

NPPES Registry Identity

NPI1407177983
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameELAINE CRUZCredential: D.O.
Location Address2500 METROHEALTH DRCleveland, OH 44109-1900
Mailing Address2500 Metrohealth DrCleveland, OH 44109-1900 · (216) 778-7800
Phone(216) 778-7800
Sole ProprietorNo
Medical School CMSChicago College Of OsteopathyGraduated 2010
Enumeration DateJune 18, 2010
Last NPPES UpdateDecember 27, 20212 updates tracked since enumeration
✔ NPI 1407177983 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in OH · 34011447
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.
2500 METROHEALTH DR, Cleveland, OH 44109
Open in Google Maps ↗

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, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Elaine Cruz D.o. 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 ID2062635279
PECOS Enrollment IDI20150211002283
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

4

Medicare enrollment records show Elaine Cruz reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

The Metrohealth System
0.1 mi
Multi-Specialty
2500 METROHEALTH DR
Cleveland, OH 44109
  • Reassigned Medicare billing, Ohio enrollment
  • 2,147 clinicians in this Medicare group
NPI 1053353896 (216) 957-2442
Inpatient Medical Services, Inc.
21 mi
Internal Medicine
5700 DARROW RD STE 106
Hudson, OH 44236
  • Reassigned Medicare billing, Ohio enrollment
  • 215 clinicians in this Medicare group
NPI 1093756314 (844) 474-4019
4M Hospitalist Services, LLC
28 mi
Internal Medicine
525 E MARKET ST
Akron, OH 44304
  • Reassigned Medicare billing, Ohio enrollment
  • 259 clinicians in this Medicare group
NPI 1508288531 (844) 474-4019
Usacs Integrated Acute Care Services Of Ohio, LLC
154 mi
Internal Medicine
100 MEDICAL CENTER DR
Springfield, OH 45504
  • Reassigned Medicare billing, Ohio enrollment
  • 494 clinicians in this Medicare group
NPI 1043805690 (844) 474-4019

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 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.
51 services25 patients
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.
18 services11 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.
14 services14 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.
13 services12 patients

Hospital Affiliations CMS Care Compare

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

Metrohealth System

Acute Care Hospitals · Cleveland, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number360059
Location2500 Metrohealth DriveCleveland, OH 44109 · Cuyahoga County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 44109 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
$126.12 typical visit price
range $54.34 – $166.65
Typical copayment $31.53 (range $13.58 – $41.66)
Most-billed visit code 99204
Established Patient
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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 20

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

AMIR RAZAVI MD
Internal Medicine
2500 METROHEALTH DR
CLEVELAND, OH 44109
Cuyahoga County (216) 778-7800
WILLIAM STEPHEN BARNES II DMD
Dentist (Oral and Maxillofacial Surgery)
2500 METROHEALTH DR
CLEVELAND, OH 44109
Cuyahoga County (216) 778-7800
CATHERINE V. DABRAMO MD
Emergency Medicine
2500 METROHEALTH DR
CLEVELAND, OH 44109
Cuyahoga County (216) 778-7800
RHONDA KOCINSKI CNP
Nurse Practitioner (Family)
2500 METROHEALTH DR
CLEVELAND, OH 44109
Cuyahoga County (216) 778-7800
DR. VANESSA PHILLIS HO MD
Surgery (Surgical Critical Care)
2500 METROHEALTH DR
CLEVELAND, OH 44109
Cuyahoga County (216) 778-7800
DR. JOI S. COPELAND DDS
Dentist (General Practice)
2500 METROHEALTH DR
CLEVELAND, OH 44109
Cuyahoga County (216) 778-4725
DR. FRANK KENNER PH.D.
Psychologist (Rehabilitation)
2500 METROHEALTH DR
CLEVELAND, OH 44109
Cuyahoga County (216) 778-7800
DR. KRUPA PARIKH MD
Internal Medicine
2500 METROHEALTH DR
CLEVELAND, OH 44109
Cuyahoga County (216) 778-7800

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 Elaine Cruz's NPI number?

The NPI number for Elaine Cruz is 1407177983. It was assigned to this individual provider in the NPPES registry on June 18, 2010.

Where is Elaine Cruz located?

Elaine Cruz practices at 2500 Metrohealth Dr, Cleveland, OH 44109. The listed phone number is (216) 778-7800.

What is Elaine Cruz's specialty?

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

Is Elaine Cruz enrolled in Medicare?

Yes. Elaine 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.

Which organizations bill Medicare for Elaine Cruz's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Elaine Cruz reassigns Medicare benefits to 4 organizations: The Metrohealth System (Cleveland, OH), Inpatient Medical Services, Inc. (Hudson, OH), 4M Hospitalist Services, LLC (Akron, OH) and Usacs Integrated Acute Care Services Of Ohio, LLC (Springfield, OH). 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 Elaine Cruz's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Elaine Cruz accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, CareSource and Molina Healthcare and 1 other insurer list Elaine 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 Elaine Cruz affiliated with any hospitals?

According to CMS data, Elaine Cruz is affiliated with Metrohealth System.

When was this NPI record last updated?

The NPPES record for Elaine Cruz was last updated on December 27, 2021. 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.