DR. CRUZ MARTINA FANA-SOUCHET MD
NPI 1811050602
Internal Medicine in Dunedin, FL

Active since December 19, 2006PECOS EnrolledAccepts Medicare Assignment
125 PATRICIA AVE STE B, AMA MEDICAL GROUP, DUNEDIN, FL 34698(727) 331-8740(727) 331-8744 Get Directions Write a Review

NPPES record last updated: March 30, 2011. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Cruz Martina Fana-souchet Md NPPES

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

DR. CRUZ MARTINA FANA-SOUCHET MD (NPI 1811050602) is an individual internal medicine provider in Dunedin, Florida, licensed in Florida (ME96750) and active in the NPI registry since December 2006. She is enrolled in Medicare PECOS and is a graduate of Other (1998).

NPPES Registry Identity

NPI1811050602
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameDR. CRUZ MARTINA FANA-SOUCHETCredential: MD
Location Address125 PATRICIA AVE STE B, AMA MEDICAL GROUPDunedin, FL 34698-8100
Mailing Address125 Patricia Ave Ste B, Ama Medical GroupDunedin, FL 34698-8100 · (727) 331-8740 · Fax (727) 331-8744
Fax(727) 331-8744
Sole ProprietorNo
Medical School CMSOtherGraduated 1998
Enumeration DateDecember 19, 2006
Last NPPES UpdateMarch 30, 2011
NPI 1811050602 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 FL · ME96750
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 ListedInternal Medicine · Infectious DiseaseTaxonomy 207RI0200X · License ME96750 (FL)
125 PATRICIA AVE STE B, Dunedin, FL 34698

Other Names 1

Former Name (1)Cruz Martina Fana

Other Identifiers 2

Medicaid000875300FL
Medicare PINAG509YFL

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Dr. Cruz Martina Fana-souchet 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 ID5092809723
PECOS Enrollment IDI20070925000601
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 7

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.
82 services48 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
55 services29 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.
51 services51 patients
Annual depression screening, 5 to 15 minutes G0444
An annual depression screening is a short, routine evaluation to check for signs of depression. It involves answering a series of questions about your feelings, thoughts, and behaviors. The process takes about 15 minutes and helps detect depression early for better management.
47 services47 patients
Assessment of emotional or behavioral problems 96127
Assessment of emotional or behavioral problems involves a thorough evaluation of your feelings, thoughts, and behaviors. It's a process where professionals study patterns over time to identify potential issues like anxiety, depression, or other mental health conditions.
15 services14 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.
12 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 34698 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
$130.04 typical visit price
range $56.00 – $171.84
Typical copayment $32.51 (range $14.00 – $42.96)
Most-billed visit code 99204
Established Patient
$99.16 typical visit price
range $17.57 – $139.16
Typical copayment $24.79 (range $4.39 – $34.79)
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.

Reported Quality Measures

Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
100%34 patients5/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES

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

Non-Pharmacy Dispensing Site
125 PATRICIA AVE STE B
DUNEDIN, FL 34698

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 Cruz Fana-souchet's NPI number?

The NPI number for Cruz Fana-souchet is 1811050602. It was assigned to this individual provider in the NPPES registry on December 19, 2006. The provider is also known as Cruz Martina Fana.

Where is Cruz Fana-souchet located?

Cruz Fana-souchet practices at 125 Patricia Ave Ste B Ama Medical Group, Dunedin, FL 34698. The listed phone number is (727) 331-8740.

What is Cruz Fana-souchet's specialty?

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

Is Cruz Fana-souchet enrolled in Medicare?

Yes. Cruz Fana-souchet 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.

When was this NPI record last updated?

The NPPES record for Cruz Fana-souchet was last updated on March 30, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.