RAFAEL DE LA CRUZ MD – NPI #1669460655
Internal Medicine

An internist who deals with infectious diseases of all types and in all organ systems. Conditions requiring selective use of antibiotics call for this special skill. This physician often diagnoses and treats AIDS patients and patients with fevers which have not been explained. Infectious disease specialists may also have expertise in preventive medicine and travel medicine.

Health Care Provider Taxonomy Code for Internal Medicine

RAFAEL DE LA CRUZ is a physician located in ALTON, IL. NPPES has assigned the NPI number 1669460655 to RAFAEL DE LA CRUZ on October 12, 2005. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 207RI0200X from the Health Care Provider Taxonomy code set, which is classified as Internal Medicine, specializing in Infectious Disease

The NPI profile was previously updated about 5 years ago on Feb 26, 2021. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for RAFAEL DE LA CRUZ below.

NPI Profile for
RAFAEL DE LA CRUZ

NPI Number
1669460655
Enumeration Date

(more than 20 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
RAFAEL DE LA CRUZ
Credentials
MD
Primary location
4 MEMORIAL DR STE 230B
ALTON, IL 62002-6705
Phone: (636) 344-2014 Fax: (314) 747-1476
Mailing address
670 MASON RIDGE CENTER DR
STE. 300
SAINT LOUIS, MO 63141-8573
Phone: (636) 344-2014 Fax: (314) 747-1476
Sole Proprietor
No
Updated
Certification Date
Feb 26, 2021

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for RAFAEL DE LA CRUZ

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDMO1669460655
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207RI0200X
- Internal Medicine / Infectious Disease (Primary)		 MO 2008007441

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.

Endpoint

Health Information Exchange (HEI)

HEI is the mobilization of health care information electronically across organizations within a region, community or hospital system. Endpoints provide a simple and secure way for participants to send authenticated, encrypted health information directly to known, trusted recipients over the internet such as primary care physicians, specialists, hospitals, labs, etc.

Endpoint
https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2/
Endpoint type
FHIR URL
Endpoint Description
BJC
Content Type
CSV
Affiliation
N
Endpoint Location
4 MEMORIAL DR STE 230B,
ALTON, IL 77025-1669

Additional Information

Accepts Medicare
This provider accepts Medicare-approved amount as payment in full. The Medicare-approved amount is the total the provider can be paid. When a provider accepts the Medicare-approved amount as payment, you won't be billed for more than the Medicare deductible & coinsureance.
Medicare Ordering & Referring
Provider can:
  • Refer to Part B
  • Order Durable Medical Equipment
  • Refer to Home Health Agency
  • Order Power Mobility Devices
Affiliations
RAFAEL DE LA CRUZ is affiliated with the following medical group(s):
  • HOSPITAL
    • ALTON MEMORIAL HOSPITAL
      ONE MEMORIAL DRIVE
      ALTON, IL 62002
    • BARNES JEWISH HOSPITAL
      ONE BARNES-JEWISH HOSPITAL PLAZA
      SAINT LOUIS, MO 63110
    • BARNES-JEWISH ST PETERS HOSPITAL
      10 HOSPITAL DR
      SAINT PETERS, MO 63376
    • MISSOURI BAPTIST MEDICAL CENTER
      3015 N BALLAS RD
      TOWN AND COUNTRY, MO 63131
    • PROGRESS WEST HOSPITAL
      2 PROGRESS POINT PKWY
      O FALLON, MO 63368
  • HOME HEALTH AGENCY
    • APOLLO MEDICAL
      10511 OLD OLIVE STREET RD
      SAINT LOUIS, MO 63141
    • BJC HOME CARE SERVICES
      670 MASON RIDGE CENTER DRIVE, STE 300
      SAINT LOUIS, MO 63141

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How do I correct or change the NPI data displayed here?
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Can I hide my NPI profile from the public?
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