Individual provider Active NPI

Crystale Cruz

  • Gastroenterology Physician
  • Philadelphia, PA
National Provider Identifier
1275784969
Registry record updated Feb 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
OS014235 Issued in PA
Practice address
3400 Civic Center Blvd
4 West
Philadelphia, PA 19104-5127
Phone
(215) 349-8222
NPI assigned
Oct 1, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X S9283 TX
Gastroenterology Physician 207RG0100X OS014235 PA Primary

Addresses

Primary practice location

3400 Civic Center Blvd
4 West
Philadelphia, PA 19104-5127

Mailing address

3400 Civic Center Blvd
4 West
Philadelphia, PA 19104-5127

Other practice location 1

600 Elizabeth St
Corpus Christi, TX 78404-2235
Phone (361) 881-3000

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address crystale.j.cruz@upmcdirect.com UPMC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, TX2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20160727000183 PA Practitioner - Gastroenterology 4880832872 Reassigns benefits to 2 organizations
I20210224000582 TX Practitioner - Gastroenterology 4880832872 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Gastroenterology
Education
Philadelphia College of Osteopathic Medicine, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Seton Family of DoctorsGroup PAC ID 0941333280, 785 clinicians
Christus Trinity Clinic TexasGroup PAC ID 3072426741, 1,540 clinicians

Practice addresses (Care Compare)

1004 W 32ND St
200 Ascension Texas Spine and Scoliosis
Austin, TX 78705-1006
Phone (512) 324-3580

1201 W 38TH St
Austin, TX 78705-1006
Phone (512) 324-1000

1400 N Ih 35
Austin, TX 78701-1926

1400 N Ih 35 LL
Cl400 Tri County Prac Assoc
Austin, TX 78701-1926
Phone (512) 324-7300

5920 Saratoga Blvd
Suite 520
Corpus Christi, TX 78414-4294
Phone (361) 257-2500

5950 Saratoga Blvd
Corpus Christi, TX 78414-4100
Phone (361) 985-5000

600 Elizabeth St
Corpus Christi, TX 78404-2235
Phone (361) 881-3000

6001 Kyle Pkwy
Kyle, TX 78640-6112
Phone (512) 504-5000

620 S Fleishel Ave
Christus Trinity Clinic
Tyler, TX 75701-2041
Phone (903) 606-4900

630 S Fleishel Ave
Tyler, TX 75701-2041
Phone (903) 606-5560

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy24
Upper gastrointestinal (GI) endoscopy for acid reflux78

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
OS014235PAMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Texas Digestive Disease Consultants PLLC Gastroenterology CurrentSince Apr 14, 2024 Accepting new patients
Seton Family of Doctors CurrentSince Jul 28, 2022 Accepting new patients
Texas Digestive Disease Consultants, PLLC Gastroenterology CurrentSince Apr 14, 2024 Accepting new patients
Christus Trinity Clinic Texas Gastroenterology CurrentSince Apr 1, 2025 Accepting new patients
Texas Digestive Disease Consultants, PLLC Gastroenterology Current Accepting new patients
DLP Conemaugh Physician Practices LLC CurrentSince May 23, 2019 Accepting new patients
DLP Conemaugh Physician Practices LLC Current Accepting new patients
University of Penn - Medical Group Gastroenterology CurrentSince Jul 1, 2019 Accepting new patients
McAllen Hospitalist Group, PLLC CurrentSince Mar 15, 2021 Accepting new patients
DLP Conemaugh Physician Practices LLC Gastroenterology CurrentSince May 23, 2019 Accepting new patients
Seton Family of Doctors CurrentSince Jul 28, 2022 Accepting new patients
Christus Trinity Clinic Texas CurrentSince Apr 1, 2025 Accepting new patients
University of Penn-Medical Group CurrentSince Jul 1, 2019 Accepting new patients

Locations

1086 Franklin St
Johnstown, PA 15905
Phone (610) 250-4540

1111 Franklin St
Ste 180
Johnstown, PA 15905
Phone (814) 534-3740

1015 Franklin St
Fl C
Johnstown, PA 15905
Phone (814) 534-1270

3400 Spruce St
Fl 3
Philadelphia, PA 19104

3400 Civic Center Blvd
#4
Philadelphia, PA 19104
Phone (215) 614-1618

3400 Civic Center Blvd
#4W
Philadelphia, PA 19104
Phone (215) 662-2300

1400 N Interstate 35
Ste 300
Austin, TX 78701
Phone (512) 324-8300

1102 W Trenton Rd
Edinburg, TX 78539
Phone (956) 388-6500

6001 Kyle Pkwy
Kyle, TX 78640
Phone (512) 504-5000

301 W Expressway 83
McAllen, TX 78503
Phone (956) 467-9552

5425 W Spring Creek Pkwy
Ste 205
Plano, TX 75024
Phone (972) 526-5860

520 E Euclid Ave
San Antonio, TX 78212

630 S Fleishel Ave
Tyler, TX 75701
Phone (903) 510-8888

Organizations & group practices 13

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

View all 13

Hospital & facility affiliations 4

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": "1222819200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740355200000",
    "number": "1275784969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3400 CIVIC CENTER BLVD",
            "address_2": "4 WEST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191045127"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3400 CIVIC CENTER BLVD",
            "address_2": "4 WEST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191045127",
            "telephone_number": "215-349-8222"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "600 Elizabeth St",
            "address_purpose": "LOCATION",
            "city": "Corpus Christi",
            "state": "TX",
            "postal_code": "784042235",
            "country_code": "US",
            "telephone_number": "361-881-3000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CRUZ",
        "first_name": "CRYSTALE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-10-01",
        "last_updated": "2025-02-24",
        "certification_date": "2025-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "TX",
            "license": "S9283",
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "PA",
            "license": "OS014235",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "crystale.j.cruz@upmcdirect.com",
            "affiliation": "Y",
            "affiliationName": "UPMC",
            "address_1": "600 Grant St",
            "address_2": "Floor 58",
            "city": "Pittsburgh",
            "state": "PA",
            "country_code": "US",
            "postal_code": "152192702",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.