Individual provider Active NPI

Kevin Jay Cross, M.D.

  • Plastic and Reconstructive Surgery Physician
  • Wayne, PA
National Provider Identifier
1144436403
Registry record updated Jul 11, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic and Reconstructive Surgery PhysicianTaxonomy code 2086S0122X
License
MD433662 Issued in PA
Practice address
744 W Lancaster Ave
Devon Square 2, Suite 100
Wayne, PA 19087-2523
Phone
(610) 688-3363
Fax
(610) 688-4520
NPI assigned
May 15, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 11, 2011

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic and Reconstructive Surgery Physician 2086S0122X MD433662 PA Primary

Addresses

Primary practice location

744 W Lancaster Ave
Devon Square 2, Suite 100
Wayne, PA 19087-2523

Mailing address

731 Eagle Farm Rd
Villanova, PA 19085-2035
Phone (267) 971-0707

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080811000116 PA Practitioner - Plastic and Reconstructive Surgery 1052485968 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Plastic and Reconstructive Surgery
Education
Perelman School of Med at the University of Pennsylvania, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cross Plastic Surgery Associates PLLCGroup PAC ID 6901963248, 2 clinicians

Practice addresses (Care Compare)

744 W Lancaster Ave
Suite 100
Wayne, PA 19087-2552
Phone (610) 688-3363

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Mastectomy1-10
Melanoma (skin cancer) excision1-10
Removal or shaving of skin growth1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD433662PAMDPlastic and Reconstructive Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cross Plastic Surgery Associates PLLC CurrentSince Jan 27, 2009 Accepting new patients
PA Surgery Group LLC Past Accepting new patients

Locations

2200 Arch St
Ste 120
Philadelphia, PA 19103
Phone (215) 561-9100

775 E Lancaster Ave
Ste 230
Villanova, PA 19085
Phone (610) 896-6666

744 Lancaster Ave
Ste 100
Wayne, PA 19087
Phone (610) 688-3363

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1179187200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1310342400000",
    "number": "1144436403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "731 EAGLE FARM RD",
            "city": "VILLANOVA",
            "state": "PA",
            "postal_code": "190852035",
            "telephone_number": "267-971-0707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "744 W LANCASTER AVE",
            "address_2": "DEVON SQUARE 2, SUITE 100",
            "city": "WAYNE",
            "state": "PA",
            "postal_code": "190872523",
            "telephone_number": "610-688-3363",
            "fax_number": "610-688-4520"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CROSS",
        "first_name": "KEVIN",
        "middle_name": "JAY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-15",
        "last_updated": "2011-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0122X",
            "taxonomy_group": "",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": "PA",
            "license": "MD433662",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wayne, PA

Sources for this page

Verify at the official NPI Registry.