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DANA CRUZ D.O.
NPI 1497018972
Internal Medicine in San Jose, CA

Active since June 20, 2012PECOS EnrolledAccepts Medicare Assignment
80.58/100
CMS Quality Rating
1993 MCKEE RD, SAN JOSE, CA 95116(888) 334-1000 Get Directions Write a Review

NPPES record last updated: November 1, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dana Cruz D.o. NPPES

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

DANA CRUZ D.O. (NPI 1497018972) is an individual internal medicine provider in San Jose, California, licensed in California (20A13846) and active in the NPI registry since June 2012. She is enrolled in Medicare PECOS and is a graduate of Other (2012).

NPPES Registry Identity

NPI1497018972
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameDANA CRUZCredential: D.O.
Location Address1993 MCKEE RDSan Jose, CA 95116-1406
Mailing Address1993 Mckee RdSan Jose, CA 95116-1406 · (888) 334-1000
Phone(888) 334-1000
Sole ProprietorYes
Medical School CMSOtherGraduated 2012
Enumeration DateJune 20, 2012
Last NPPES UpdateNovember 1, 2023
NPPES CertifiedNovember 1, 2023
✔ NPI 1497018972 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in CA · 20A13846
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.
Also ListedClinic/CenterTaxonomy 261Q00000X · License 20A13846 (CA)
1993 MCKEE RD, San Jose, CA 95116
Open in Google Maps ↗

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

Dana 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 ID1456678531
PECOS Enrollment IDI20150611002940
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 Reassignment

Medicare enrollment records show Dana Cruz reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

County Of Santa Clara
0.1 mi
Mental Health (Including Community Mental Health Center)
1993 MCKEE RD
San Jose, CA 95116
  • Reassigned Medicare billing, California enrollment
  • Also billed through NPI 1629301346 (California), NPI 1043354020 (California)
  • 2,460 clinicians in this Medicare group
NPI 1679675698 (408) 926-7950

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95116 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
$156.67 typical visit price
range $70.37 – $206.04
Typical copayment $39.16 (range $17.59 – $51.51)
Most-billed visit code 99204
Established Patient
$121.77 typical visit price
range $23.96 – $169.60
Typical copayment $30.44 (range $5.99 – $42.40)
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.

80.58/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality67.43
Promoting Interoperability100
Improvement Activities40
Cost46.5

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
2 suppliers12 claims23 services$5.19 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

MS. RITA ARACELI DUARTE LCSW
Social Worker
1993 MCKEE RD, BUILDING C
SAN JOSE, CA 95116
Santa Clara County (408) 937-2269
MS. MELODIE KENNA TUBIS MSW, LCSW
Social Worker (Clinical)
1993 MCKEE RD
SAN JOSE, CA 95116
Santa Clara County (408) 926-7950
KHANH-VAN L CAO PHARM.D
Pharmacist
1993 MCKEE RD
SAN JOSE, CA 95116
Santa Clara County (408) 254-6392
ANTONIA MAITLAND CHARLES MD
Pediatrics
1993 MCKEE RD, EVC PEDIATRICS CLINIC
SAN JOSE, CA 95116
Santa Clara County (408) 885-5000
KATHLEEN MIEKO FUJINO MD
Obstetrics & Gynecology
1993 MCKEE RD, EVC OB/GYN CLINIC
SAN JOSE, CA 95116
Santa Clara County (408) 254-6337
SOFIA KANTOR MD
Internal Medicine
1993 MCKEE RD, EVC INTERNAL MEDICINE CLINIC
SAN JOSE, CA 95116
Santa Clara County (408) 885-5000
AMY L KOSTISHACK MD
Pediatrics
1993 MCKEE RD, EVC PEDIATRICS CLINIC
SAN JOSE, CA 95116
Santa Clara County (408) 885-5405
DWIGHT DAVID LIM MD
Internal Medicine
1993 MCKEE RD, VHC EVC INTERNAL MEDICINE CLINIC
SAN JOSE, CA 95116
Santa Clara County (408) 254-6331

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 Dana Cruz's NPI number?

The NPI number for Dana Cruz is 1497018972. It was assigned to this individual provider in the NPPES registry on June 20, 2012.

Where is Dana Cruz located?

Dana Cruz practices at 1993 Mckee Rd, San Jose, CA 95116. The listed phone number is (888) 334-1000.

What is Dana Cruz's specialty?

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

Is Dana Cruz enrolled in Medicare?

Yes. Dana 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 organization bills Medicare for Dana Cruz's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Dana Cruz reassigns Medicare benefits to County Of Santa Clara (San Jose, CA). The 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 Dana Cruz's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Dana Cruz was last updated on November 1, 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.