DR. JOSE J DE LA CRUZ-NAPOLI M.D.
NPI 1033182548
Ophthalmology - Cornea and External Diseases Specialist in San Juan, PR

Q: What is Jose De La Cruz-napoli's NPI number?

The NPI number for Jose De La Cruz-napoli is 1033182548. It was assigned to this individual provider in the NPPES registry on February 8, 2006.

Q: What is Jose De La Cruz-napoli's specialty?

The primary specialty registered for this NPI is Ophthalmology, specializing in Cornea and External Diseases Specialist, with taxonomy code 207WX0120X.

Active since February 08, 2006PECOS EnrolledAccepts Medicare Assignment

87.08/100

CMS Quality Rating

357 AVE DE LA CONSTITUCION, SAN JUAN, PR 00901(787) 289-6600(787) 289-6622 Get Directions Write a Review

NPPES record last updated: January 9, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Dr. Jose J De La Cruz-napoli M.d. NPPES

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

DR. JOSE J DE LA CRUZ-NAPOLI M.D. (NPI 1033182548) is an individual cornea and external diseases specialist in San Juan, Puerto Rico, licensed in Puerto Rico (22594) and active in the NPI registry since February 2006. He is enrolled in Medicare PECOS, is affiliated with University Of Illinois Hospital And Clinics, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1033182548

Entity TypeIndividualMale

Primary Taxonomy207WX0120X

Provider Legal NameDR. JOSE J DE LA CRUZ-NAPOLICredential: M.D.

Location Address357 AVE DE LA CONSTITUCIONSan Juan, PR 00901-2208

Mailing Address1855 W Taylor StChicago, IL 60612-7242 · (312) 996-2020

Phone(787) 289-6600

Fax(787) 289-6622

Sole ProprietorNo

Medical School CMSPonce School Of MedicineGraduated 2001

Enumeration DateFebruary 8, 2006

Last NPPES UpdateJanuary 9, 2024

NPPES CertifiedJanuary 9, 2024

✔ NPI 1033182548 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOphthalmology · Cornea and External Diseases SpecialistAllopathic & Osteopathic Physicians

Taxonomy Code207WX0120X

Licenses✔ Licensed in PR · 22594✔ Licensed in IL · 116734

Definition

An ophthalmologist who specializes in diseases of the cornea, sclera, eyelids, conjunctiva, and anterior segment of the eye.

Secondary Practice Locations 2

Location 1257 Calle Mendez VigoDorado, PR 00646-4905 · Phone (787) 278-0830 · Fax (787) 796-3533

Location 21855 W Taylor StChicago, IL 60612-7242 · Phone (312) 996-2020

Other Identifiers 1

Medicaid038890600PR

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Jose J De La Cruz-napoli 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 ID8022035880

PECOS Enrollment IDI20070226000455, I20220921001838

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.

Areas of Expertise CMS Part B claims 12

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.

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.

176 services135 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

129 services99 patients

Established patient problem focused exam of visual system 92012

This is a routine check-up for existing patients focusing on the visual system. It involves examining your eyes to detect any potential issues or changes in your vision. It's a crucial part of maintaining good eye health.

112 services58 patients

Removal of cataract with insertion of prosthetic lens 66984

This is a procedure where a cloudy lens in your eye, known as a cataract, is removed. After removal, a clear artificial lens is inserted. This helps to restore your vision, enabling you to see clearly again.

82 services64 patients

Ct scan of cornea 92025

A CT scan of the cornea is a non-invasive imaging test that uses X-rays to capture detailed pictures of your eye's cornea. It helps in diagnosing diseases or damage, planning for surgery, or evaluating the results of a treatment. It's a safe and painless procedure.

22 services21 patients

Imaging of front third of eye 92132

Imaging of the front third of the eye, also known as anterior segment imaging, captures detailed images of the eye's front part. This includes the iris, cornea, and lens. It's a non-invasive procedure that helps diagnose and monitor eye conditions.

22 services15 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

21 services21 patients

Ultrasound scan to determine eye length and lens power 76519

An ultrasound scan for the eye is a safe, non-invasive procedure. It uses sound waves to create images of your eye's structure. This helps determine the length of your eye and the power of your lens, which is crucial for diagnosing eye conditions and planning surgeries.

20 services18 patients

New patient complete exam of visual system 92004

A new patient complete exam of the visual system is a thorough evaluation of your eyes and vision. It checks for any potential issues and assesses overall eye health. It includes tests for visual acuity, eye movement, and light response.

19 services19 patients

Measurement of corneal curvature and depth of eye 92136

This procedure measures the shape and depth of your eye, specifically the cornea, the clear front surface. It helps in diagnosing conditions, planning for surgeries, or fitting contact lenses. It's non-invasive and painless.

17 services16 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

17 services17 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.

14 services14 patients

Hospital Affiliations CMS Care Compare 2

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

University Of Illinois Hospital And Clinics

Acute Care Hospitals · Chicago, IL

2/5 CMS rating

OwnershipGovernment - State

CMS Certification Number140150

Location1740 West Taylor St Suite 1400Chicago, IL 60612 · Cook County

Emergency services Birthing friendly

Presbyterian Community Hosp

Acute Care Hospitals · San Juan, PR

OwnershipVoluntary non-profit - Private

CMS Certification Number400001

Location1451 Ashford AvenueSan Juan, PR 00907 · San Juan County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 00901 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

$130.65 typical visit price

range $56.86 – $172.44

Typical copayment $32.66 (range $14.21 – $43.11)

Most-billed visit code 99204

Established Patient

$70.88 typical visit price

range $18.24 – $140.44

Typical copayment $17.72 (range $4.56 – $35.11)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

87.08/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

70.79

Promoting Interoperability

100

Improvement Activities

Cost

52.82

Other Providers at the Same Location NPPES 2

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

EYE CARE OF SAN JUAN P S C

Ophthalmology

357 AVE DE LA CONSTITUCION, PUERTA DE TIERRA
SAN JUAN, PR 00901

San Juan Municipio (787) 289-6600

DR. FEDERICO A MAESTRE GRAU MD

Ophthalmology

357 AVE DE LA CONSTITUCION, PUERTA DE TIERRA
SAN JUAN, PR 00901

San Juan Municipio (787) 289-6600

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 Jose De La Cruz-napoli's NPI number?

The NPI number for Jose De La Cruz-napoli is 1033182548. It was assigned to this individual provider in the NPPES registry on February 8, 2006.

Where is Jose De La Cruz-napoli located?

Jose De La Cruz-napoli practices at 357 Ave De La Constitucion, San Juan, PR 00901. The listed phone number is (787) 289-6600.

What is Jose De La Cruz-napoli's specialty?

The primary specialty registered for this NPI is Ophthalmology, specializing in Cornea and External Diseases Specialist, with taxonomy code 207WX0120X.

Is Jose De La Cruz-napoli enrolled in Medicare?

Yes. Jose De La Cruz-napoli 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.

Is Jose De La Cruz-napoli affiliated with any hospitals?

According to CMS data, Jose De La Cruz-napoli is affiliated with University Of Illinois Hospital And Clinics and Presbyterian Community Hosp.

When was this NPI record last updated?

The NPPES record for Jose De La Cruz-napoli was last updated on January 9, 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.