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MAYRA JANET SANCHEZ DE LA CRUZ MD
NPI 1073794616
Internal Medicine - Gastroenterology in New Haven, CT

Active since November 26, 2007PECOS EnrolledAccepts Medicare Assignment
85.07/100
CMS Quality Rating
40 TEMPLE ST, SUITE 1A, NEW HAVEN, CT 06510(203) 785-4138 Get Directions Write a Review

NPPES record last updated: June 14, 2010. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Mayra Janet Sanchez De La Cruz Md NPPES

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

MAYRA JANET SANCHEZ DE LA CRUZ MD (NPI 1073794616) is an individual gastroenterology provider in New Haven, Connecticut, licensed in Connecticut (045381) and active in the NPI registry since November 2007. She is enrolled in Medicare PECOS and is a graduate of University Of Miami, Lm Miller School Of Medicine (2004).

NPPES Registry Identity

NPI1073794616
Entity TypeIndividualFemale
Primary Taxonomy207RG0100X
Provider Legal NameMAYRA JANET SANCHEZ DE LA CRUZCredential: MD
Location Address40 TEMPLE ST, SUITE 1ANew Haven, CT 06510-2715
Mailing Address44 Orange St Apt 312New Haven, CT 06510-3132 · (305) 495-3099
Phone(203) 785-4138
Sole ProprietorNo
Medical School CMSUniversity Of Miami, Lm Miller School Of MedicineGraduated 2004
Enumeration DateNovember 26, 2007
Last NPPES UpdateJune 14, 2010
✔ NPI 1073794616 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
License✔ Licensed in CT · 045381
Definition
An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.
Also ListedInternal MedicineTaxonomy 207R00000X · License 045381 (CT)
40 TEMPLE ST, New Haven, CT 06510
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.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

Mayra Janet Sanchez De La Cruz 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.

PECOS PAC ID9335273531
PECOS Enrollment IDI20100810000283
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

3

Medicare enrollment records show Mayra Sanchez De La Cruz reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Yale University
0.3 mi
Advanced Practice Midwife
100 CHURCH ST S STE 200, YALE SCHOOL OF NURSING
New Haven, CT 06519
  • Reassigned Medicare billing, Connecticut enrollment
  • 3,728 clinicians in this Medicare group
NPI 1124148887 (203) 737-5432
Connecticut Gi PLLC
34 mi
Gastroenterology
85 SEYMOUR ST, 1000
Hartford, CT 06106
  • Reassigned Medicare billing, Connecticut enrollment
  • 417 clinicians in this Medicare group
NPI 1023124625 (860) 246-2571
Hartford Healthcare Medical Group Specialists, PLLC
34 mi
Surgery
85 SEYMOUR ST STE 415
Hartford, CT 06106
  • Reassigned Medicare billing, Connecticut enrollment
  • 1,921 clinicians in this Medicare group
NPI 1023584216 (860) 246-2071

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 7

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 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.
120 services71 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
47 services47 patients
Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239
This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.
43 services43 patients
Study of esophageal sensation by balloon distension 91040
This procedure involves inflating a small balloon in the esophagus, the tube connecting your mouth to your stomach. It helps doctors understand how your esophagus responds to pressure changes, aiding in the diagnosis of certain digestive disorders.
31 services31 patients
Study of rectum sensitivity and function 91122
This procedure examines the rectum's sensitivity and functionality. It involves a small, soft balloon inserted into the rectum and inflated to various degrees. The goal is to assess how well your rectum can sense and respond to different volumes. It's a crucial test for diagnosing certain digestive issues.
17 services16 patients
Test for tone and sensation of rectum and anus 91120
This procedure checks the health of the lower digestive tract. The doctor gently examines the area to assess its muscle strength and sensitivity. This helps in detecting any abnormal conditions. It's a standard, safe procedure with minimal discomfort.
15 services14 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 06510 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
$138.84 typical visit price
range $60.82 – $183.10
Typical copayment $34.71 (range $15.20 – $45.77)
Most-billed visit code 99204
Established Patient
$106.68 typical visit price
range $19.76 – $149.26
Typical copayment $26.67 (range $4.94 – $37.31)
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.

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.

85.07/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality89.7
Promoting Interoperability83
Improvement Activities40
Cost68.33

Referred Medical Equipment & Supplies CMS DME claims

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

Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape B4035
Other-Enteral and Parenteral · category OB006N
1 supplier11 claims247 services$4.23 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 20

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

JOHN W DOBBINS M.D.
Internal Medicine (Gastroenterology)
40 TEMPLE ST, SUITE 4A
NEW HAVEN, CT 06510
South Central Connecticut Planning Region (203) 777-0304
DR. THOMAS M. HANSON M.D., FACOS
Obstetrics & Gynecology
40 TEMPLE ST, SUITE 7A
NEW HAVEN, CT 06510
South Central Connecticut Planning Region (203) 789-2011
DAVID M WOLFSOHN M.D.
Internal Medicine (Gastroenterology)
40 TEMPLE ST, SUITE 4A
NEW HAVEN, CT 06510
South Central Connecticut Planning Region (203) 777-0304
RANDY LUCIANO M.D., PH.D.
Internal Medicine (Nephrology)
40 TEMPLE ST, SUITE 1A
NEW HAVEN, CT 06510
South Central Connecticut Planning Region (203) 785-4138
STEPHEN M STRITTMATTER MD
Psychiatry & Neurology (Neurology)
40 TEMPLE ST, SUITE 6-C
NEW HAVEN, CT 06510
South Central Connecticut Planning Region (203) 785-4085
CARDIOLOGY ASSOCIATES OF NEW HAVEN, PC
Internal Medicine (Cardiovascular Disease)
40 TEMPLE ST
NEW HAVEN, CT 06510
South Central Connecticut Planning Region (203) 789-2272
DR. MEAGAN SARAH CAMPOL M.D., M.P.H
Obstetrics & Gynecology
40 TEMPLE ST
NEW HAVEN, CT 06510
South Central Connecticut Planning Region (203) 789-2011
BADR F AL BAWARDY MD
Internal Medicine (Gastroenterology)
40 TEMPLE ST
NEW HAVEN, CT 06510
South Central Connecticut Planning Region (203) 785-4138

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 Mayra Sanchez De La Cruz's NPI number?

The NPI number for Mayra Sanchez De La Cruz is 1073794616. It was assigned to this individual provider in the NPPES registry on November 26, 2007.

Where is Mayra Sanchez De La Cruz located?

Mayra Sanchez De La Cruz practices at 40 Temple St Suite 1A, New Haven, CT 06510. The listed phone number is (203) 785-4138.

What is Mayra Sanchez De La Cruz's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Is Mayra Sanchez De La Cruz enrolled in Medicare?

Yes. Mayra Sanchez De La 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 Mayra Sanchez De La Cruz's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mayra Sanchez De La Cruz reassigns Medicare benefits to 3 organizations: Yale University (New Haven, CT), Connecticut Gi PLLC (Hartford, CT) and Hartford Healthcare Medical Group Specialists, PLLC (Hartford, CT). 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 Mayra Sanchez De La Cruz's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Mayra Sanchez De La Cruz accept?

Health plans from Anthem Blue Cross and Blue Shield list Mayra Sanchez De La 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.

When was this NPI record last updated?

The NPPES record for Mayra Sanchez De La Cruz was last updated on June 14, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.