MARIO MATOS-CRUZ (M.D.) – Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician, NPI 1588868616

MARIO MATOS-CRUZ (M.D.) is a healthcare provider. based in Newark, Delaware. specializing in THORACIC SURGERY. They hold the professional credentials M.D.. They hold a License No. C1-0027419 (DE). The NPI Number for MARIO MATOS-CRUZ (M.D.) is 1588868616

Main info

Male
44 Years Of Experience
Accepts Medicare Assignment
Name
MARIO MATOS-CRUZ (M.D.)
NPI
1588868616
Phone
(302) 733-5700
Address
4755 OGLETOWN STANTON ROAD
Enumeration Date
13 June 2007
Last Update Date
5 November 2024

Doctor Profile

Medical School Name
UNIVERSITY OF PUERTO RICO SCHOOL OF MEDICINE
Secondary Phone
3303133228
Graduation Year
1982 (44 years ago)
PAC ID
9931011293
Group Practice PAC ID
0143583716
Professional Enrollment ID
I20120706000409
Address ID
OH447182776CA4368XNWXX401

Contacts

Secure Messaging
mmatoscruz55663@bhkydirect.com
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience69
Completeness85
Years active:18State licenses:2Other namesUpdated within 12 months

23 THORACIC SURGERY in DE

Provider Addresses for MARIO MATOS-CRUZ (M.D.)

  • 4755 OGLETOWN STANTON ROAD

    SUITE 1E20

    NEWARK, DE 197182200

    Phone: (302) 733-5700

    Fax: (302) 733-5775

    Type: Location

  • PO BOX 432

    PIKEVILLE, KY 415020432

    Phone: (606) 218-6402

    Fax: (606) 218-7502

    Type: Mailing

  • 207, West High Street, Lima, Allen County, Ohio, 45801, United States

    LIMA, OH 458013975

    Phone: (419) 996-4011

    Fax: (419) 996-4012

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 6 Open Payments records for all available years, with a total value of $3,279.

Total Amount is formed as General ($3,279) + Research ($0) + Ownership ($0) = $3,279.

Last reported payment date: 2024-12-31 • Largest payer in this snapshot: AngioDynamics, Inc. ($3,200).

Total Amount

$3,279

General + Research + Ownership

Payments

6

Total payment records

General Amount

$3,279

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-31

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2025-10-20

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 8 Medicare enrollment records; no due dates published yet.

Enrollment records

8

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20120706000409IThoracic SurgeryOHTBD
I20131007001061IThoracic SurgeryIATBD
I20160630000911ICardiac SurgeryNDTBD
I20160802001775IThoracic SurgeryKYTBD
I20240522002286IThoracic SurgeryNVTBD
I20240827001468IThoracic SurgeryTXTBD
I20240921000553IThoracic SurgeryMSTBD
I20251020002795IThoracic SurgeryPATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 19718)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 0143583716View full group profile
NameSpecialtyState
Obstetrics/Gynecology, Family PracticeOH

Reviews

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Frequently asked questions

What federal number belongs to MARIO MATOS-CRUZ (M.D.)?
The federal identifier for MARIO MATOS-CRUZ (M.D.) is NPI 1588868616.
Is MARIO MATOS-CRUZ (M.D.)'s NPI currently valid?
The extract we use shows MARIO MATOS-CRUZ (M.D.) as active.
Can you summarize MARIO MATOS-CRUZ (M.D.)'s specialty in plain language?
Clinically, the directory lists MARIO MATOS-CRUZ (M.D.) with Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician. Clinical services aligned with this taxonomy classification.
What location shows for MARIO MATOS-CRUZ (M.D.)?
We surface Newark, Delaware for MARIO MATOS-CRUZ (M.D.) based on available NPPES addresses.
Is MARIO MATOS-CRUZ (M.D.) a real provider?
This page reflects official NPPES data for NPI 1588868616. Always confirm identity and privileges with the practice and licensing boards.

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