Individual provider Active NPI

Sebastian Francis Cruz-Schiavone, MD

  • Surgery Physician
  • Wallingford, PA
National Provider Identifier
1992281471
Registry record updated Dec 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
464585 Issued in PA
Practice address
739 Windsor PL
Wallingford, PA 19086-6730
Phone
(267) 608-5773
NPI assigned
Jul 17, 2018
Last updated
Dec 23, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 23, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208600000X 35.135306 OH
Surgery Physician 208600000X 28649 WV
Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208600000X 464585 PA Primary

Addresses

Primary practice location

739 Windsor PL
Wallingford, PA 19086-6730

Mailing address

739 Windsor PL
Wallingford, PA 19086-6730
Phone (267) 608-5773

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, WV, OH3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20180914000437 PA Practitioner - General Surgery 5799035671 Reassigns benefits to 2 organizations
I20190103003296 WV Practitioner - General Surgery 5799035671 Reassigns benefits to 1 organization
I20190215002255 OH Practitioner - General Surgery 5799035671 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Jefferson Medical College of Thomas Jefferson University, 2008
Medicare assignment
May accept Medicare assignment
Group practices
Geskin Medical LLCGroup PAC ID 4981006640, 20 clinicians

Practice addresses (Care Compare)

1633 Route 51
Suite 105
Jefferson Hills, PA 15025-3652
Phone (412) 775-3019

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue35
Removal of skin lesions1-10
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
464585PAMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Encore Clinical Services LLC Multi-Specialty CurrentSince Dec 1, 2025 Accepting new patients
Wissam Khoury DPM LLC Multi-Specialty CurrentSince Dec 16, 2025 Accepting new patients
Lake Effect Health Multi-Specialty Current Accepting new patients
Wound Care Consultants LLC Multi-Specialty CurrentSince Nov 1, 2019 Accepting new patients

Locations

23250 Chagrin Blvd
Ste 150
Beachwood, OH 44122
Phone (216) 402-0027

2475 E 22nd St
Ste 120
Cleveland, OH 44115
Phone (216) 367-9444

12301 Ridge Rd
North Royalton, OH 44133
Phone (216) 331-6750

6789 Ridge Rd
Ste 305
Parma, OH 44129
Phone (440) 491-8334

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, 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": "1531785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734912000000",
    "number": "1992281471",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "739 WINDSOR PL",
            "city": "WALLINGFORD",
            "state": "PA",
            "postal_code": "190866730",
            "telephone_number": "267-608-5773"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "739 WINDSOR PL",
            "city": "WALLINGFORD",
            "state": "PA",
            "postal_code": "190866730",
            "telephone_number": "267-608-5773"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRUZ-SCHIAVONE",
        "first_name": "SEBASTIAN",
        "middle_name": "FRANCIS",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-07-17",
        "last_updated": "2024-12-23",
        "certification_date": "2024-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery",
            "state": "OH",
            "license": "35.135306",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "WV",
            "license": "28649",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery",
            "state": "PA",
            "license": "464585",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wallingford, PA

Sources for this page

Verify at the official NPI Registry.