DR. RAQUEL M RIVERA CRUZ MD
NPI 1649700337
Family Medicine in Huntsville, AL

Q: What is Raquel Rivera Cruz's NPI number?

The NPI number for Raquel Rivera Cruz is 1649700337. It was assigned to this individual provider in the NPPES registry on June 14, 2017.

Q: What is Raquel Rivera Cruz's specialty?

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

Active since June 14, 2017PECOS EnrolledAccepts Medicare Assignment

9000 BAILEY COVE RD SE, HUNTSVILLE, AL 35802(256) 428-4900(256) 428-4912 Get Directions Write a Review

NPPES record last updated: August 18, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Aug 18, 2026, Mar 13, 2026, Dec 19, 2025 and 5 more (8 updates tracked since 2017).

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About Dr. Raquel M Rivera Cruz Md NPPES

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

DR. RAQUEL M RIVERA CRUZ MD (NPI 1649700337) is an individual family medicine provider in Huntsville, Alabama, licensed in Alabama (51856) and active in the NPI registry since June 2017. She is enrolled in Medicare PECOS, maintains 5 additional practice locations, and is a graduate of Other (2017).

NPPES Registry Identity

NPI1649700337

Entity TypeIndividualFemale

Primary Taxonomy207Q00000X

Provider Legal NameDR. RAQUEL M RIVERA CRUZCredential: MD

Location Address9000 BAILEY COVE RD SEHuntsville, AL 35802-4002

Mailing AddressPo Box 2650Pine Bluff, AR 71613-2650 · (870) 541-7211 · Fax (870) 541-4297

Phone(256) 428-4900

Fax(256) 428-4912

Sole ProprietorYes

Medical School CMSOtherGraduated 2017

Enumeration DateJune 14, 2017

Last NPPES UpdateAugust 18, 20268 updates tracked since enumeration

NPPES CertifiedAugust 18, 2026

✔ NPI 1649700337 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

Licenses✔ Licensed in AL · 51856✔ Licensed in AR · E-15764✔ Licensed in AZ · R76899

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 ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

9000 BAILEY COVE RD SE, Huntsville, AL 35802

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Secondary Practice Locations 5

Location 11643 NW 136th Ave Bldg HSunrise, FL 33323-3091 · Phone (256) 837-8585 ext. 01394 · Fax (865) 347-5181

Location 21601 W 40th Ave Ste 100Pine Bluff, AR 71603-6069 · Phone (870) 541-6010

Location 33950 S Country Club Rd Ste 130Tucson, AZ 85714 · Phone (520) 874-4800

Location 4550 SERGIO CUEVAS BUSTAMANTESAN JUAN, PR 00918-3804 · Phone (787) 758-8383 ext. 8494

Location 51801 W 40th Ave Ste 6APine Bluff, AR 71603-6963 · Phone (870) 541-7393 · Fax (870) 541-0109

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter of Alabama, Ambetter of Tennessee 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

Dr. Raquel M Rivera 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 ID7012268501

PECOS Enrollment IDI20220901003433, I20260206000279

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

Medicare enrollment records show Raquel Rivera Cruz reassigns Medicare billing to 11 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Hh Physician Care

5.5 mi

Internal Medicine

101 SIVLEY RD SW
Huntsville, AL 35801

Reassigned Medicare billing, Alabama enrollment
165 clinicians in this Medicare group

NPI 1144860123 (256) 801-6036

Alabama Post-Acute Medical Service 1 PC

175 mi

Hospitalist

1720 KNOWLES RD
Phenix City, AL 36869

Reassigned Medicare billing, Alabama enrollment
53 clinicians in this Medicare group

NPI 1073052403 (305) 447-4150

Ess Of Mcgehee LLC

287 mi

Emergency Medicine

900 S 3RD ST
Mc Gehee, AR 71654

Reassigned Medicare billing, Arkansas enrollment
81 clinicians in this Medicare group

NPI 1639822653 (870) 222-5600

Jefferson Hospital Association, Inc

307 mi

Family Medicine

1306 NORTH LINCOLN AVENUE
Star City, AR 71667

Reassigned Medicare billing, Arkansas enrollment
106 clinicians in this Medicare group

NPI 1568123982 (870) 628-1347

Bradley County Medical Center

324 mi

Critical Access

404 S BRADLEY ST
Warren, AR 71671

Reassigned Medicare billing, Arkansas enrollment
Also billed through NPI 1972620649 (Arkansas), NPI 1861519548 (Arkansas)
27 clinicians in this Medicare group

NPI 1194741611 (870) 226-3731

Ess Hospitalist LLC

327 mi

Hospitalist

1015 UNITY RD
Crossett, AR 71635

Reassigned Medicare billing, Arkansas enrollment
152 clinicians in this Medicare group

NPI 1881967305 (866) 931-8882

Ess Of Fordyce LLC

342 mi

Emergency Medicine

201 N CLIFTON ST
Fordyce, AR 71742

Reassigned Medicare billing, Arkansas enrollment
125 clinicians in this Medicare group

NPI 1821547977 (870) 352-6300

Hospital Care Consultants Of Fordyce LLC

342 mi

Hospitalist

201 N CLIFTON ST
Fordyce, AR 71742

Reassigned Medicare billing, Arkansas enrollment
121 clinicians in this Medicare group

NPI 1316497464 (870) 352-6300

Cs Pacs 3 Southeast, LLC

348 mi

Hospitalist

1600 BLAND ST
Bluefield, WV 24701

Reassigned Medicare billing, Alabama enrollment
51 clinicians in this Medicare group

NPI 1154104958 (304) 327-2485

Arkansas Emergency Staffing Solutions, Inc

409 mi

Emergency Medicine

2001 S MAIN ST
Hope, AR 71801

Reassigned Medicare billing, Arkansas enrollment
323 clinicians in this Medicare group

NPI 1275774630 (870) 777-2323

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 11

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

450 services201 patients

Insertion of needle into vein for collection of blood sample 36415

This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.

397 services200 patients

Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439

An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.

131 services131 patients

Automated urinalysis test 81003

An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.

70 services62 patients

Administration of influenza virus vaccine G0008

The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.

67 services65 patients

Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use 90677

The Pneumococcal Conjugate Vaccine (PCV20) is a shot given to protect against 20 types of bacteria that can cause serious infections like pneumonia and meningitis. It's administered through a muscle, usually in the arm. It's important for overall health.

60 services57 patients

Administration of pneumococcal vaccine G0009

The pneumococcal vaccine helps protect against pneumococcal bacteria, which can cause severe infections like pneumonia and meningitis. The vaccine is given as an injection, typically in the arm. It's recommended for infants, older adults, and those with certain health conditions.

58 services56 patients

Influenza vaccine, inactivated 90653

The Influenza vaccine, inactivated, is a shot given to protect against the flu. It contains killed virus particles that help your body build immunity to the flu. It's recommended annually to keep your protection up-to-date. It's safe for ages 6 months and up.

55 services54 patients

Smoking and tobacco use intensive counseling, 4-10 minutes 99406

This service provides brief, intensive counseling (4-10 minutes) to support you in quitting smoking or tobacco use. It involves discussing the risks of tobacco use, benefits of quitting, and strategies to help you stop. It's a critical step towards a healthier lifestyle.

20 services11 patients

Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional 99211

This service involves an outpatient visit for established patients who may not need direct interaction with a healthcare professional. It could include reviewing test results, monitoring existing conditions, or adjusting treatment plans. It's typically done remotely, ensuring your comfort and convenience.

13 services13 patients

Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and G0180

This is a service where a doctor or authorized practitioner certifies that you require Medicare-covered home health services. They will communicate with the home health agency and review reports on your health status to ensure you receive appropriate care. This does not involve an in-person visit.

13 services13 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 35802 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

$81.90 typical visit price

range $52.65 – $161.63

Typical copayment $20.47 (range $13.16 – $40.40)

Most-billed visit code 99203

Established Patient

$93.72 typical visit price

range $16.56 – $131.65

Typical copayment $23.43 (range $4.14 – $32.91)

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 15

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

JULIA ANN FOWLER MD

Family Medicine