DR. NICHOLAS MARCEL DE LA RUA MD
NPI 1063074094
Internal Medicine - Pulmonary Disease in Chicago, IL
About Dr. Nicholas Marcel De La Rua Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. NICHOLAS MARCEL DE LA RUA MD (NPI 1063074094) is an individual pulmonary disease provider in Chicago, Illinois, licensed in Illinois (036.159353) and active in the NPI registry since June 2019. He is enrolled in Medicare PECOS, is affiliated with Presence Saint Francis Hospital, and maintains a secondary practice location in Chicago.
NPPES Registry Identity
Specialties & Licenses 3
Secondary Practice Location 1
Accepted 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. Nicholas Marcel De La Rua 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.
Medicare Billing Reassignment
Medicare enrollment records show Nicholas De La Rua reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Chicago, IL 60631
- Reassigned Medicare billing, Illinois enrollment
- 9 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Hospital Affiliations CMS Care Compare 3
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Presence Saint Francis Hospital
Acute Care Hospitals · Evanston, ILAmita Health Resurrection Medical Center
Acute Care Hospitals · Chicago, ILAdvocate Lutheran General Hospital
Acute Care Hospitals · Park Ridge, ILPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 60631 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
CHICAGO, IL 60631
CHICAGO, IL 60631
CHICAGO, IL 60631
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 Nicholas De La Rua's NPI number?
The NPI number for Nicholas De La Rua is 1063074094. It was assigned to this individual provider in the NPPES registry on June 29, 2019.
Where is Nicholas De La Rua located?
Nicholas De La Rua practices at 7447 W Talcott Ave Ste 542, Chicago, IL 60631. The listed phone number is (773) 631-2180.
What is Nicholas De La Rua's specialty?
The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.
Is Nicholas De La Rua enrolled in Medicare?
Yes. Nicholas De La Rua 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 Nicholas De La Rua's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Nicholas De La Rua reassigns Medicare benefits to Northwest Pulmonary Associates, S.C. (Chicago, IL). 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 Nicholas De La Rua's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Nicholas De La Rua accept?
Health plans from Ambetter Health and Ambetter Health of Delaware list Nicholas De La Rua 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 Nicholas De La Rua affiliated with any hospitals?
According to CMS data, Nicholas De La Rua is affiliated with Presence Saint Francis Hospital, Amita Health Resurrection Medical Center and Advocate Lutheran General Hospital.
When was this NPI record last updated?
The NPPES record for Nicholas De La Rua was last updated on July 23, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months 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.