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CARLOS SANTA-CRUZ MD
NPI 1962475178
Urology in Miami, FL

Active since February 08, 2006PECOS EnrolledAccepts Medicare Assignment
81.31/100
CMS Quality Rating
1150 NW 14TH ST, MIAMI, FL 33136(305) 243-6090 Get Directions Write a Review

NPPES record last updated: October 15, 2015. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Carlos Santa-cruz Md NPPES

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

CARLOS SANTA-CRUZ MD (NPI 1962475178) is an individual urology provider in Miami, Florida, licensed in Florida (ME64626) and active in the NPI registry since February 2006. He is enrolled in Medicare PECOS and is a graduate of University Of Miami, Lm Miller School Of Medicine (1990).

NPPES Registry Identity

NPI1962475178
Entity TypeIndividualMale
Primary Taxonomy208800000X
Provider Legal NameCARLOS SANTA-CRUZCredential: MD
Location Address1150 NW 14TH STMiami, FL 33136-2137
Mailing Address1150 Nw 14th StMiami, FL 33136-2137 · (305) 243-6090
Phone(305) 243-6090
Sole ProprietorNo
Medical School CMSUniversity Of Miami, Lm Miller School Of MedicineGraduated 1990
Enumeration DateFebruary 8, 2006
Last NPPES UpdateOctober 15, 2015
✔ NPI 1962475178 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyUrologyAllopathic & Osteopathic Physicians
Taxonomy Code208800000X
License✔ Licensed in FL · ME64626
Definition
A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.
Also ListedSpecialistTaxonomy 174400000X · License ME64626 (FL)
1150 NW 14TH ST, Miami, FL 33136
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Other Identifiers 3

Medicare UPING28244FL
Medicaid006076700FL
Medicare PIN31980FL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include AmeriHealth Caritas Next, Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company) and more.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

Carlos Santa-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 ID2163616616
PECOS Enrollment IDI20101029000078
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.

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.
549 services313 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
58 services58 patients
Diagnostic exam of bladder and urethra using an endoscope 52000
This procedure involves using a thin, flexible tube with a light, called an endoscope, to examine the bladder and urethra. It helps in identifying any abnormalities or issues that may be causing discomfort or other symptoms.
30 services28 patients
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.
15 services15 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33136 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
$141.56 typical visit price
range $60.92 – $187.05
Typical copayment $35.39 (range $15.23 – $46.76)
Most-billed visit code 99204
Established Patient
$75.86 typical visit price
range $18.99 – $150.24
Typical copayment $18.96 (range $4.74 – $37.56)
Most-billed visit code 99213
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.

81.31/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality78.45
Promoting Interoperability100
Improvement Activities40
Cost50.59

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.

Intermittent urinary catheter; coude (curved) tip, with or without coating (teflon, silicone, silicone elastomeric, or hydrophilic, etc.), each A4352
DME-Orthotic Devices · category DF008N
2 suppliers16 claims2,280 services$5.20 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.

DR. JACQUES JEUDY M.D
Urology
1150 NW 14TH ST
MIAMI, FL 33136
Miami-Dade County (305) 243-4000
CAROLE B LAHANA ARNP
Nurse Practitioner
1150 NW 14TH ST
MIAMI, FL 33136
Miami-Dade County (305) 243-6090
JANELLE LEAH CUERVO DO
Internal Medicine
1150 NW 14TH ST
MIAMI, FL 33136
Miami-Dade County (305) 243-4900
ANITA T BLENKE PA-C
Physician Assistant
1150 NW 14TH ST, 6TH FLOOR
MIAMI, FL 33136
Miami-Dade County (305) 243-6732
DR. SWOBODA FOX M.D.
Internal Medicine
1150 NW 14TH ST
MIAMI, FL 33136
Miami-Dade County (305) 243-7900
DR. KAREN KOFFLER M.D.
Family Medicine
1150 NW 14TH ST
MIAMI, FL 33136
Miami-Dade County (305) 243-4751
ENRIQUE CARRAZANA MD
Psychiatry & Neurology (Neurology)
1150 NW 14TH ST, 6TH FLOOR (M851)
MIAMI, FL 33136
Miami-Dade County (305) 243-9068
MAKDA MAJETTE M.D, M.P.H
Family Medicine
1150 NW 14TH ST
MIAMI, FL 33136
Miami-Dade County (305) 243-7570

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 Santa-cruz's NPI number?

The NPI number for Carlos Santa-cruz is 1962475178. It was assigned to this individual provider in the NPPES registry on February 8, 2006.

Where is Carlos Santa-cruz located?

Carlos Santa-cruz practices at 1150 NW 14th St, Miami, FL 33136. The listed phone number is (305) 243-6090.

What is Carlos Santa-cruz's specialty?

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

Is Carlos Santa-cruz enrolled in Medicare?

Yes. Carlos Santa-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 Carlos Santa-cruz accept?

Health plans from AmeriHealth Caritas Next, Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company) and Oscar Health Maintenance Organization of Florida list Carlos Santa-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 Santa-cruz was last updated on October 15, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.