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CARLOS CRUZ MD
NPI 1619918851
Emergency Medicine in Chattanooga, TN

Active since June 09, 2006PECOS Enrolled
9231 HIDDEN MOUNTAIN DR, CHATTANOOGA, TN 37421(504) 913-2789 Get Directions Write a Review

NPPES record last updated: October 31, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Carlos Cruz Md NPPES

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

CARLOS CRUZ MD (NPI 1619918851) is an individual emergency medicine provider in Chattanooga, Tennessee, licensed in Louisiana (13866R) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1619918851
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameCARLOS CRUZCredential: MD
Location Address9231 HIDDEN MOUNTAIN DRChattanooga, TN 37421-7423
Mailing Address9231 Hidden Mountain DrChattanooga, TN 37421-7423 · (504) 913-2789
Phone(504) 913-2789
Sole ProprietorYes
Enumeration DateJune 9, 2006
Last NPPES UpdateOctober 31, 2011
✔ NPI 1619918851 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License✔ Licensed in LA · 13866R
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
9231 HIDDEN MOUNTAIN DR, Chattanooga, TN 37421
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Other Identifiers 5

Medicare UPINH48117LA
Medicare ID-Type Unspecified4A659CR05LA
OtherA127LA · Champus
Other561696907CLA · Blue Cross
Medicaid1572331LA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Insurance Company.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Carlos Cruz Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 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.

Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
112 services107 patients
Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
110 services103 patients
Emergency department visit with low level of medical decision making 99283
An emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.
25 services24 patients
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.
11 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 37421 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
$81.53 typical visit price
range $52.64 – $160.89
Typical copayment $20.38 (range $13.16 – $40.22)
Most-billed visit code 99203
Established Patient
$93.60 typical visit price
range $16.72 – $131.41
Typical copayment $23.40 (range $4.18 – $32.85)
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.

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 Carlos Cruz's NPI number?

The NPI number for Carlos Cruz is 1619918851. It was assigned to this individual provider in the NPPES registry on June 9, 2006.

Where is Carlos Cruz located?

Carlos Cruz practices at 9231 Hidden Mountain Dr, Chattanooga, TN 37421. The listed phone number is (504) 913-2789.

What is Carlos Cruz's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Carlos Cruz enrolled in Medicare?

Yes. Carlos Cruz is registered in the Medicare PECOS enrollment system.

What insurance does Carlos Cruz accept?

Health plans from Oscar Insurance Company list Carlos 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.

When was this NPI record last updated?

The NPPES record for Carlos Cruz was last updated on October 31, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.