1. Home
  2. Directory
  3. Pennsylvania
  4. Philadelphia
  5. Family Medicine
  6. NPI Profile

DR. JANET CRUZ M.D.
NPI 1487975454
Family Medicine in Philadelphia, PA

Active since June 14, 2010PECOS EnrolledAccepts Medicare Assignment
3401 MARKET ST STE 105A, PHILADELPHIA, PA 19104(215) 255-7822 Get Directions Write a Review

NPPES record last updated: January 22, 2020. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jan 22, 2020, Feb 11, 2019, Jul 13, 2017 (3 updates tracked since 2017).

About Dr. Janet Cruz M.d. NPPES

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

DR. JANET CRUZ M.D. (NPI 1487975454) is an individual family medicine provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (MD461623) and active in the NPI registry since June 2010. She is enrolled in Medicare PECOS, is affiliated with Temple Health - Chestnut Hill Hospital, and maintains a secondary practice location in Dover.

NPPES Registry Identity

NPI1487975454
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameDR. JANET CRUZCredential: M.D.
Location Address3401 MARKET ST STE 105APhiladelphia, PA 19104-3315
Mailing Address3401 Market St Ste 105aPhiladelphia, PA 19104-3315 · (215) 255-7822
Phone(215) 255-7822
Sole ProprietorNo
Medical School CMSRutgers New Jersey Medical SchoolGraduated 2010
Enumeration DateJune 14, 2010
Last NPPES UpdateJanuary 22, 20203 updates tracked since enumeration
✔ NPI 1487975454 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in PA · MD461623
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
3401 MARKET ST STE 105A, Philadelphia, PA 19104
Open in Google Maps ↗

Secondary Practice Location 1

Location 1300 Tuskegee BlvdDover, DE 19902-5003 · Phone (302) 677-2600

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter Health, Ambetter Health of Delaware.Insurance ›

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

Dr. Janet Cruz M.d. 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 ID2062650799
PECOS Enrollment IDI20171030000562
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 Reassignments

4

Medicare enrollment records show Janet Cruz reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Drexel University
Same address
Family Medicine
3401 MARKET ST STE 105B
Philadelphia, PA 19104
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 335 clinicians in this Medicare group
NPI 1356458772 (215) 220-4700
Tower Drexel Academic Medical Group LLC
Same address
Family Medicine
3401 MARKET ST STE 105A
Philadelphia, PA 19104
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 48 clinicians in this Medicare group
NPI 1023651726 (610) 743-6049
Temple Faculty Practice Plan Inc
2.4 mi
Family Medicine
1700 N BROAD ST
Philadelphia, PA 19121
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 1,991 clinicians in this Medicare group
NPI 1487136495 (215) 204-2679
Chestnut Hill Clinic Company, LLC
4.8 mi
Sports Medicine
10 SHURS LN STE 204
Philadelphia, PA 19127
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 176 clinicians in this Medicare group
NPI 1811611692 (215) 967-1627

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

Areas of Expertise CMS Part B claims 8

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
67 services33 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
32 services27 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
24 services20 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
23 services12 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
20 services20 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
19 services19 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Temple Health - Chestnut Hill Hospital

Acute Care Hospitals · Philadelphia, PA
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390026
Location8835 Germantown AvenuePhiladelphia, PA 19118 · Philadelphia County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19104 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
$92.69 typical visit price
range $59.88 – $180.99
Typical copayment $23.17 (range $14.97 – $45.24)
Most-billed visit code 99203
Established Patient
$105.21 typical visit price
range $19.30 – $147.29
Typical copayment $26.30 (range $4.82 – $36.82)
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.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
1 supplier17 claims17 services$67.28 avg. paid by Medicare
Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing K0738
DME-Oxygen and Supplies · category DC000N
1 supplier17 claims17 services$32.26 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

TOWER DREXEL ACADEMIC MEDICAL GROUP LLC
Family Medicine
3401 MARKET ST STE 105A
PHILADELPHIA, PA 19104
Philadelphia County (610) 743-6049
TOWER DREXEL ACADEMIC MEDICAL GROUP LLC
Family Medicine (Sports Medicine)
3401 MARKET ST STE 105A
PHILADELPHIA, PA 19104
Philadelphia County (215) 220-4720
ANGELA JO SILVERMAN MD, MPH
Family Medicine
3401 MARKET ST STE 105A
PHILADELPHIA, PA 19104
Philadelphia County (215) 220-4720

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 Janet Cruz's NPI number?

The NPI number for Janet Cruz is 1487975454. It was assigned to this individual provider in the NPPES registry on June 14, 2010.

Where is Janet Cruz located?

Janet Cruz practices at 3401 Market St Ste 105A, Philadelphia, PA 19104. The listed phone number is (215) 255-7822.

What is Janet Cruz's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Janet Cruz enrolled in Medicare?

Yes. Janet 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 organizations bill Medicare for Janet Cruz's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Janet Cruz reassigns Medicare benefits to 4 organizations: Drexel University (Philadelphia, PA), Tower Drexel Academic Medical Group LLC (Philadelphia, PA), Temple Faculty Practice Plan Inc (Philadelphia, PA) and Chestnut Hill Clinic Company, LLC (Philadelphia, PA). Each 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 Janet Cruz's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Janet Cruz accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Janet Cruz as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Janet Cruz affiliated with any hospitals?

According to CMS data, Janet Cruz is affiliated with Temple Health - Chestnut Hill Hospital.

When was this NPI record last updated?

The NPPES record for Janet Cruz was last updated on January 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.