Individual provider Active NPI

Matthew Jon F. Delacruz, MD

  • Student in an Organized Health Care Education/Training Program
  • Elkin, NC
National Provider Identifier
1487581682
Registry record updated May 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X
Practice address
500 Chatham Medical Park
Elkin, NC 28621-2481
Phone
(336) 527-7000
NPI assigned
May 4, 2026
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 4, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X Primary

Addresses

Primary practice location

500 Chatham Medical Park
Elkin, NC 28621-2481

Mailing address

2200 Bloomsbury Manor Dr
Durham, NC 27703-7888

Other practice location 1

180 Parkwood Dr
Elkin, NC 28621-2430
Phone (336) 527-7000

Other practice location 2

600 Chatham Medical Park
Elkin, NC 28621-2482
Phone (336) 835-4819

Other names 1

  • Matt Delacruz Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Medicine

NPI Registry JSON

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

{
    "created_epoch": "1777852800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777852800000",
    "number": "1487581682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2200 BLOOMSBURY MANOR DR",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277037888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 CHATHAM MEDICAL PARK",
            "city": "ELKIN",
            "state": "NC",
            "postal_code": "286212481",
            "telephone_number": "336-527-7000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "180 Parkwood Dr",
            "address_purpose": "LOCATION",
            "city": "Elkin",
            "state": "NC",
            "postal_code": "286212430",
            "country_code": "US",
            "telephone_number": "336-527-7000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "600 Chatham Medical Park",
            "address_purpose": "LOCATION",
            "city": "Elkin",
            "state": "NC",
            "postal_code": "286212482",
            "country_code": "US",
            "telephone_number": "336-835-4819",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DELACRUZ",
        "first_name": "MATTHEW",
        "middle_name": "JON F.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2026-05-04",
        "last_updated": "2026-05-04",
        "certification_date": "2026-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MATT",
            "last_name": "DELACRUZ",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Elkin, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.