Individual provider Active NPI

Alejandro Javier Matos Cruz, MD

  • Neurological Surgery Physician
  • Erie, PA
National Provider Identifier
1306247523
Registry record updated Jun 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
License
MD485301 Issued in PA
Practice address
2315 Myrtle St Ste L90
Erie, PA 16502-4607
Phone
(814) 452-7575
NPI assigned
Sep 7, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery Physician 207T00000X MD485301 PA Primary

Addresses

Primary practice location

2315 Myrtle St Ste L90
Erie, PA 16502-4607

Mailing address

2315 Myrtle St Ste L90
Erie, PA 16502-4607
Phone (814) 452-7575

Other identifiers 1

IdentifierTypeStateIssuer
16212633OtherCAQH

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
I20240701001822 PA Practitioner - Neurosurgery 9830633965 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurosurgery
Education
University of Puerto Rico School of Medicine, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Allegheny ClinicGroup PAC ID 5395649586, 2,313 clinicians
Mrs Physical TherapyGroup PAC ID 0042128407, 168 clinicians
Keystone Rehabilitation Systems IncGroup PAC ID 7012826753, shared by 15 NPIs, 750 clinicians

Practice addresses (Care Compare)

2315 Myrtle St
Suite L90
Erie, PA 16502-4607
Phone (814) 452-7575

4538 Peach St
Erie, PA 16509-1364
Phone (814) 864-6650

5930 Old French Rd
Erie, PA 16509-3656
Phone (814) 860-7816

Hospital & facility affiliations

  • Saint Vincent Hospital Hospital, Erie, PA, CCN 390009

Procedures performed for Medicare patients

ProcedureNumber of procedures
Spinal fusion99
Laminectomy or laminotomy (partial removal of spine bones)14

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD485301PAMDNeurological Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Allegheny Clinic Neurological Surgery CurrentSince Jul 1, 2024 Accepting new patients
Allegheny Clinic CurrentSince Jul 1, 2024 Accepting new patients
Allegheny Clinic Current Accepting new patients
Saint Vincent Health Center Past Accepting new patients
Allegheny Clinic Past Accepting new patients

Locations

1001 9th Ave
Brackenridge, PA 15014

2315 Myrtle St
Ste L90
Erie, PA 16502
Phone (814) 452-7575

701 Broad St
Ste 431
Sewickley, PA 15143
Phone (412) 741-0966

Interoperability endpoints

  • Direct secure messaging: amatoscruz396730@direct.ahn.org

Organizations & group practices 6

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.

Hospital & facility affiliations 1

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": "1410048000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718668800000",
    "number": "1306247523",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2315 MYRTLE ST STE L90",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165024607",
            "telephone_number": "814-452-7575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2315 MYRTLE ST STE L90",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165024607",
            "telephone_number": "814-452-7575"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATOS CRUZ",
        "first_name": "ALEJANDRO",
        "middle_name": "JAVIER",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-09-07",
        "last_updated": "2024-06-18",
        "certification_date": "2024-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "PA",
            "license": "MD485301",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "16212633",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Erie, PA

Sources for this page

Verify at the official NPI Registry.