Individual provider Active NPI

Natasha Ria Cruz-Jaszkewicz, MD

  • Family Medicine Physician
  • Beachwood, OH
National Provider Identifier
1396798245
Registry record updated Jan 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
35-086794 Issued in OH
Practice address
3909 Orange PL Ste 2100
Beachwood, OH 44122-8400
Phone
(216) 896-1800
Fax
(216) 896-1801
NPI assigned
May 19, 2006
Last updated
Jan 12, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 12, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 35-086794 OH Primary

Addresses

Primary practice location

3909 Orange PL Ste 2100
Beachwood, OH 44122-8400

Mailing address

3909 Orange PL
Beachwood, OH 44122-4478
Phone (216) 896-1800

Other identifiers 1

IdentifierTypeStateIssuer
2647792MedicaidOH

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address natashacruz@uhps.allscriptsdirect.net

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20060714000287 OH Practitioner - Family PracticePractitioner - Other (Physician) 5294748299 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35-086794OHMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University Primary Care Practices Inc Current Accepting new patients
University Primary Care Practices Inc Family Medicine CurrentSince Jul 28, 2009 Accepting new patients
University Primary Care Practices Inc. Past Accepting new patients
University Hospitals Regional Practices LLC Family Medicine Past Accepting new patients
University Hospitals Medical Practices Inc Past Accepting new patients
University Hospitals Medical Group Inc Past Accepting new patients
KMG Medical Group Mo, P.C. Family Medicine Past Accepting new patients

Locations

3909 Orange Pl
Ste 2100
Beachwood, OH 44122
Phone (216) 896-1800

158 W Main Rd
Ste 203
Conneaut, OH 44030
Phone (440) 285-2960

4001 Carrick Dr
Ste 120
Medina, OH 44256
Phone (330) 426-8700

9000 Mentor Ave
Ste 101
Mentor, OH 44060
Phone (440) 974-4443

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1147996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1610409600000",
    "number": "1396798245",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3909 ORANGE PL",
            "city": "BEACHWOOD",
            "state": "OH",
            "postal_code": "441224478",
            "telephone_number": "216-896-1800",
            "fax_number": "216-896-1801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3909 ORANGE PL STE 2100",
            "city": "BEACHWOOD",
            "state": "OH",
            "postal_code": "441228400",
            "telephone_number": "216-896-1800",
            "fax_number": "216-896-1801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRUZ-JASZKEWICZ",
        "first_name": "NATASHA",
        "middle_name": "RIA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-19",
        "last_updated": "2021-01-12",
        "certification_date": "2021-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "35-086794",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2647792",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "natashacruz@uhps.allscriptsdirect.net",
            "affiliation": "N",
            "address_1": "3909 Orange Pl Ste 2100",
            "city": "Beachwood",
            "state": "OH",
            "country_code": "US",
            "postal_code": "441228400",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Beachwood, OH

Sources for this page

Verify at the official NPI Registry.