KAREN L ORTIZ CRUZ M.D.
NPI 1912168535
Internal Medicine - Hematology & Oncology in Chandler, AZ

Active since June 17, 2008PECOS EnrolledAccepts Medicare Assignment
93.61/100
CMS Quality Rating
695 S DOBSON RD, CHANDLER, AZ 85224(480) 821-2838(480) 821-9444 Get Directions Write a Review

NPPES record last updated: November 17, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Karen L Ortiz Cruz M.d. NPPES

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

KAREN L ORTIZ CRUZ M.D. (NPI 1912168535) is an individual hematology & oncology provider in Chandler, Arizona, licensed in Arizona (48768) and active in the NPI registry since June 2008. She is enrolled in Medicare PECOS and is a graduate of Other (2008).

NPPES Registry Identity

NPI1912168535
Entity TypeIndividualFemale
Primary Taxonomy207RH0003X
Provider Legal NameKAREN L ORTIZ CRUZCredential: M.D.
Location Address695 S DOBSON RDChandler, AZ 85224-5665
Mailing AddressPo Box 6423Chandler, AZ 85246-6423
Fax(480) 821-9444
Sole ProprietorNo
Medical School CMSOtherGraduated 2008
Enumeration DateJune 17, 2008
Last NPPES UpdateNovember 17, 2022
NPPES CertifiedNovember 17, 2022
NPI 1912168535 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · Hematology & OncologyAllopathic & Osteopathic Physicians
Taxonomy Code207RH0003X
License Licensed in AZ · 48768
Definition
An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.
695 S DOBSON RD, Chandler, AZ 85224

Accepted Insurance

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

Karen L Ortiz Cruz M.d. 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 ID3476771650
PECOS Enrollment IDI20140829001561
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 43

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.

Injection, filgrastim-aafi, biosimilar, (nivestym), 1 microgram Q5110
Filgrastim-aafi (Nivestym) is a biosimilar injection used to stimulate the growth of white blood cells, which help the body fight off infections. It's often given to patients with low white blood cell counts due to cancer treatments or other conditions.
67,020 services12 patients
Injection, ferric carboxymaltose, 1 mg J1439
Ferric carboxymaltose is an iron supplement injection. It's given when your body needs more iron than you can consume through diet, like in anemia. The injection is administered by a healthcare professional into a vein.
54,000 services32 patients
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml Q9967
Low osmolar contrast material with 300-399 mg/ml iodine concentration is a diagnostic tool used in imaging procedures. It helps to enhance the visibility of specific areas in the body, aiding in accurate diagnosis. It's safe and generally well-tolerated by patients.
16,300 services156 patients
Injection, pembrolizumab, 1 mg J9271
Pembrolizumab is a medication given via injection to help your body's immune system fight certain types of cancer. It's typically administered in a hospital or clinic by a healthcare professional.
15,900 services12 patients
Injection, paclitaxel, 1 mg J9267
Paclitaxel is a medication administered via injection to treat various types of cancer. It works by inhibiting cell division, thus preventing cancer cells from growing and multiplying. Each dose is tailored to the patient's body size.
9,401 services11 patients
Injection, fosaprepitant, 1 mg J1453
Fosaprepitant is an anti-nausea medication given via injection. It's often used to prevent nausea and vomiting caused by chemotherapy. This injection blocks signals to the brain that trigger these symptoms, helping you feel better.
8,550 services13 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85224 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
$168.60 typical visit price
range $55.44 – $168.60
Typical copayment $42.15 (range $13.86 – $42.15)
Most-billed visit code 99205
Established Patient
$98.00 typical visit price
range $17.72 – $137.41
Typical copayment $24.50 (range $4.43 – $34.35)
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.

93.61/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Quality97.66
Promoting Interoperability83
Improvement Activities40

Reported Quality Measures

Advance Care Plan
100%1,006 patients5/55-star benchmark: 100%
Appropriate Treatment for Patients with Stage I (T1c) - III HER2 Positive Breast Cancer
95%38 patients
Breast Cancer Screening
63%915 patients3/55-star benchmark: 93%
Closing the Referral Loop: Receipt of Specialist Report
39%375 patients2/55-star benchmark: 87%
Colorectal Cancer Screening
71%1,390 patients4/55-star benchmark: 88%
Documentation of Current Medications in the Medical Record
90%5,763 patients4/55-star benchmark: 100%
Oncology: Medical and Radiation - Pain Intensity Quantified
92%823 patients4/55-star benchmark: 100%
Oncology: Medical and Radiation - Plan of Care for Pain
35%108 patients1/55-star benchmark: 100%
Percentage of Patients Who Died from Cancer Receiving Systemic Cancer-Directed Therapy in the Last 14 Days of Life (lower score better)
Lower rates are better for this measure.
29%21 patients
Preventive Care and Screening: Screening for Depression and Follow-Up Plan
43%2,117 patients2/55-star benchmark: 97%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients combinedPopulations: 96% · 1,521 patients
Patients screened: 100% · 1,521 patients
24%82 patients1/55-star benchmark: 100%
Provide Patients Electronic Access to Their Health Information
96%2,194 patients4/55-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 20

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

Nurse Practitioner (Family)
695 S DOBSON RD
CHANDLER, AZ 85224
Dietitian, Registered
695 S DOBSON RD
CHANDLER, AZ 85224
Internal Medicine (Hematology & Oncology)
695 S DOBSON RD
CHANDLER, AZ 85224
Internal Medicine (Hematology & Oncology)
695 S DOBSON RD
CHANDLER, AZ 85224
Radiology (Radiation Oncology)
695 S DOBSON RD
CHANDLER, AZ 85224
Dietitian, Registered
695 S DOBSON RD
CHANDLER, AZ 85224
Nurse Practitioner
695 S DOBSON RD
CHANDLER, AZ 85224
Internal Medicine (Hematology & Oncology)
695 S DOBSON RD
CHANDLER, AZ 85224

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 Karen Ortiz Cruz's NPI number?

The NPI number for Karen Ortiz Cruz is 1912168535. It was assigned to this individual provider in the NPPES registry on June 17, 2008.

Where is Karen Ortiz Cruz located?

Karen Ortiz Cruz practices at 695 S Dobson Rd, Chandler, AZ 85224. The listed phone number is (480) 821-2838.

What is Karen Ortiz Cruz's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Hematology & Oncology, with taxonomy code 207RH0003X.

Is Karen Ortiz Cruz enrolled in Medicare?

Yes. Karen Ortiz 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.

What insurance does Karen Ortiz Cruz accept?

Health plans from Ambetter from Arizona Complete Health, Antidote Health Plan of Arizona, Inc., Blue Cross Blue Shield of Arizona and Imperial Insurance Companies, Inc. list Karen Ortiz 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 Karen Ortiz Cruz was last updated on November 17, 2022. 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.