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ALEXIS CRUZ MD
NPI 1194306639
Family Medicine - Adult Medicine in Halethorpe, MD

Active since April 16, 2021PECOS EnrolledAccepts Medicare Assignment
3541 WASHINGTON BLVD, HALETHORPE, MD 21227(443) 543-9914 Get Directions Write a Review

NPPES record last updated: September 13, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Sep 13, 2024, Jun 3, 2024, Mar 20, 2023 and 2 more (5 updates tracked since 2021).

About Alexis Cruz Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ALEXIS CRUZ MD (NPI 1194306639) is an individual adult medicine provider in Halethorpe, Maryland, licensed in Maryland (D0098412) and active in the NPI registry since April 2021. She is enrolled in Medicare PECOS, maintains a secondary practice location in Conroe, and is a graduate of Other (2021).

NPPES Registry Identity

NPI1194306639
Entity TypeIndividualFemale
Primary Taxonomy207QA0505X
Provider Legal NameALEXIS CRUZCredential: MD
Location Address3541 WASHINGTON BLVDHalethorpe, MD 21227-1622
Mailing Address3541 Washington Blvd Ste 110Halethorpe, MD 21227-1623 · (443) 543-9914 · Fax (833) 464-4420
Phone(443) 543-9914
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateApril 16, 2021
Last NPPES UpdateSeptember 13, 20245 updates tracked since enumeration
NPPES CertifiedSeptember 13, 2024
✔ NPI 1194306639 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyFamily Medicine · Adult MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207QA0505X
License✔ Licensed in MD · D0098412
Definition
The National Uniform Claim Committee (NUCC) recommends code 207QA0505X not be used. Choose a more appropriate code.
Also ListedFamily MedicineTaxonomy 207Q00000X · License U2182 (TX)
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X · License BP10074825 (TX)
3541 WASHINGTON BLVD, Halethorpe, MD 21227
Open in Google Maps ↗

Secondary Practice Location 1

Location 1605 S Conroe Medical DrConroe, TX 77304-4722 · Phone (936) 539-4004 · Fax (936) 521-3964

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Alexis Cruz Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID244639466
PECOS Enrollment IDI20240816000366
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Alexis Cruz reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Sage Health Maryland LLC
5.8 mi
Primary Care
6660 SECURITY BLVD
Woodlawn, MD 21207
  • Reassigned Medicare billing, Maryland enrollment
  • 9 clinicians in this Medicare group
NPI 1770294324 (443) 380-0552

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 21227 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$94.08 typical visit price
range $60.73 – $183.44
Typical copayment $23.52 (range $15.18 – $45.86)
Most-billed visit code 99203
Established Patient
$106.59 typical visit price
range $19.60 – $149.17
Typical copayment $26.64 (range $4.90 – $37.29)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Alexis Cruz's NPI number?

The NPI number for Alexis Cruz is 1194306639. It was assigned to this individual provider in the NPPES registry on April 16, 2021.

Where is Alexis Cruz located?

Alexis Cruz practices at 3541 Washington Blvd, Halethorpe, MD 21227. The listed phone number is (443) 543-9914.

What is Alexis Cruz's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Adult Medicine, with taxonomy code 207QA0505X.

Is Alexis Cruz enrolled in Medicare?

Yes. Alexis Cruz is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Alexis Cruz's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Alexis Cruz reassigns Medicare benefits to Sage Health Maryland LLC (Woodlawn, MD). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Alexis Cruz's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Alexis Cruz was last updated on September 13, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.