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ORLANDO ENRIQUE GARNER CRUZ MD
NPI 1417309105
Internal Medicine - Critical Care Medicine in Houston, TX

Active since July 06, 2016PECOS EnrolledAccepts Medicare Assignment
75.73/100
CMS Quality Rating
13219 DOTSON RD STE 210, HOUSTON, TX 77070(281) 955-0338(281) 469-0741 Get Directions Write a Review

NPPES record last updated: April 29, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Apr 29, 2026, Jan 27, 2026, Sep 20, 2025 and 4 more (7 updates tracked since 2019).

About Orlando Enrique Garner Cruz Md NPPES

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

ORLANDO ENRIQUE GARNER CRUZ MD (NPI 1417309105) is an individual critical care medicine provider in Houston, Texas, licensed in Texas (T0490) and active in the NPI registry since July 2016. He is enrolled in Medicare PECOS, is affiliated with Hca Houston Healthcare Kingwood, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1417309105
Entity TypeIndividualMale
Primary Taxonomy207RC0200X
Provider Legal NameORLANDO ENRIQUE GARNER CRUZCredential: MD
Location Address13219 DOTSON RD STE 210Houston, TX 77070-4308
Mailing Address13219 Dotson Rd Ste 210Houston, TX 77070-4308 · (281) 955-0338 · Fax (281) 469-0741
Phone(281) 955-0338
Fax(281) 469-0741
Sole ProprietorNo
Medical School CMSOtherGraduated 2013
Enumeration DateJuly 6, 2016
Last NPPES UpdateApril 29, 20267 updates tracked since enumeration
NPPES CertifiedApril 29, 2026
✔ NPI 1417309105 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Critical Care MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207RC0200X
License✔ Licensed in TX · T0490
Definition
An internist who diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists.
Also ListedInternal Medicine · Pulmonary DiseaseTaxonomy 207RP1001X · License T0490 (TX)
13219 DOTSON RD STE 210, Houston, TX 77070
Open in Google Maps ↗

Secondary Practice Locations 2

Location 110726 Huffmeister Rd Ste 200Houston, TX 77065-3182 · Phone (281) 955-0338 · Fax (281) 469-0741
Location 21504 Taub LoopHouston, TX 77030-1608 · Phone (713) 873-8890 · Fax (713) 873-8898

Other Identifiers 1

OtherT0490TX · State License

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, Oscar Insurance Company, UnitedHealthcare 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

Orlando Enrique Garner 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 ID8224323308
PECOS Enrollment IDI20210713002953
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 Orlando Garner Cruz reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Houston Pulmonary And Sleep Associates, PLLC
Same address
Pulmonary Disease
13219 DOTSON RD STE 210
Houston, TX 77070
  • Reassigned Medicare billing, Texas enrollment
  • 11 clinicians in this Medicare group
NPI 1740625789 (281) 955-0338
Wael Asi MD PA
15 mi
Critical Care Medicine
1111 MEDICAL PLAZA DR, SUITE 250
The Woodlands, TX 77380
  • Reassigned Medicare billing, Texas enrollment
  • 72 clinicians in this Medicare group
NPI 1851342794 (281) 296-8788
Baylor College Of Medicine
20 mi
Internal Medicine
6620 MAIN ST
Houston, TX 77030
  • Reassigned Medicare billing, Texas enrollment
  • 2,296 clinicians in this Medicare group
NPI 1104867175 (713) 798-2500
Baylor College Of Medicine
21 mi
Medical Genetics, Ph.D. Medical Genetics
7200 CAMBRIDGE ST FL 10
Houston, TX 77030
  • Reassigned Medicare billing, Texas enrollment
  • 2,554 clinicians in this Medicare group
NPI 1881026664 (713) 798-0000

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.

Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
132 services56 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.
99 services92 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.
69 services67 patients
Emergent insertion of breathing tube into windpipe using an endoscope 31500
This is a procedure where a thin tube is inserted into your windpipe to aid in breathing. It's done in emergency situations, using an endoscope, a tool with a light and camera, to ensure correct placement.
15 services15 patients

Hospital Affiliations CMS Care Compare 2

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

Hca Houston Healthcare Kingwood

Acute Care Hospitals · Kingwood, TX
3/5 CMS rating
OwnershipProprietary
CMS Certification Number450775
Location22999 Us Hwy 59Kingwood, TX 77325 · Harris County
Emergency services Birthing friendly

St Luke's The Woodlands Hospital

Acute Care Hospitals · The Woodlands, TX
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450862
Location17200 St Luke's WayThe Woodlands, TX 77384 · Montgomery County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 77070 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
$134.06 typical visit price
range $58.24 – $176.98
Typical copayment $33.51 (range $14.56 – $44.24)
Most-billed visit code 99204
Established Patient
$102.71 typical visit price
range $18.60 – $143.93
Typical copayment $25.67 (range $4.65 – $35.98)
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.

75.73/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality67.98
Promoting Interoperability99
Improvement Activities40
Cost51.97

Other Providers at the Same Location NPPES 13

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

HARMAN SINGH KULAR M.D.
Internal Medicine (Pulmonary Disease)
13219 DOTSON RD STE 210
HOUSTON, TX 77070
Harris County (281) 955-0338
DR. MIMI PHAN M.D.
Internal Medicine (Pulmonary Disease)
13219 DOTSON RD STE 210
HOUSTON, TX 77070
Harris County (281) 955-0338
ANDREA TERRI BRANCH APRN-CNP, FNP-BC
Nurse Practitioner (Family)
13219 DOTSON RD STE 210
HOUSTON, TX 77070
Harris County (281) 955-0338
DR. EDOMIAS DESTA MD
Internal Medicine (Critical Care Medicine)
13219 DOTSON RD STE 210
HOUSTON, TX 77070
Harris County (281) 955-0338
JESSE ONYENEKWE M.D.
Internal Medicine (Pulmonary Disease)
13219 DOTSON RD STE 210
HOUSTON, TX 77070
Harris County (281) 955-0338
DR. DILEEP KUMAR PUPPALA M.D.
Internal Medicine (Pulmonary Disease)
13219 DOTSON RD STE 210
HOUSTON, TX 77070
Harris County (281) 955-0338
ALFREDO ERMAC JR MD PA
Family Medicine
13219 DOTSON RD STE 210
HOUSTON, TX 77070
Harris County (281) 955-0338
RAMA RAO YERRAMSETTI M.D.
Allergy & Immunology
13219 DOTSON RD STE 210
HOUSTON, TX 77070
Harris County (281) 955-0338

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 Orlando Garner Cruz's NPI number?

The NPI number for Orlando Garner Cruz is 1417309105. It was assigned to this individual provider in the NPPES registry on July 6, 2016.

Where is Orlando Garner Cruz located?

Orlando Garner Cruz practices at 13219 Dotson Rd Ste 210, Houston, TX 77070. The listed phone number is (281) 955-0338.

What is Orlando Garner Cruz's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Critical Care Medicine, with taxonomy code 207RC0200X.

Is Orlando Garner Cruz enrolled in Medicare?

Yes. Orlando Garner 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 Orlando Garner Cruz's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Orlando Garner Cruz reassigns Medicare benefits to 4 organizations: Houston Pulmonary And Sleep Associates, PLLC (Houston, TX), Wael Asi MD PA (The Woodlands, TX), Baylor College Of Medicine (Houston, TX) and Baylor College Of Medicine (Houston, 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 Orlando Garner Cruz's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Orlando Garner Cruz accept?

Health plans from Blue Cross and Blue Shield of Texas, Oscar Insurance Company, UnitedHealthcare and WellPoint list Orlando Garner 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 Orlando Garner Cruz affiliated with any hospitals?

According to CMS data, Orlando Garner Cruz is affiliated with Hca Houston Healthcare Kingwood and St Luke's The Woodlands Hospital.

When was this NPI record last updated?

The NPPES record for Orlando Garner Cruz was last updated on April 29, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months 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.