MR. REYNALDO DE LA CRUZ JR.
NPI 1104630003
Nurse Practitioner - Family in Forestville, MD
About Mr. Reynaldo De La Cruz Jr. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MR. REYNALDO DE LA CRUZ JR. (NPI 1104630003) is an individual family provider in Forestville, Maryland, licensed in Maryland (AC007598) and active in the NPI registry since February 2025. He is enrolled in Medicare PECOS and is a graduate of Other (2023).
NPPES Registry Identity
Specialties & Licenses
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
Mr. Reynaldo De La Cruz Jr. 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 Reassignments
4Medicare enrollment records show Reynaldo De La Cruz reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Clinton, MD 20735
- Reassigned Medicare billing, District of Columbia enrollment
- 144 clinicians in this Medicare group
Alexandria, VA 22302
- Reassigned Medicare billing, District of Columbia enrollment
- 22 clinicians in this Medicare group
Falls Church, VA 22042
- Reassigned Medicare billing, District of Columbia enrollment
- 12 clinicians in this Medicare group
Baltimore, MD 21202
- Reassigned Medicare billing, District of Columbia and Maryland enrollments
- 18 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 20747 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 12
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
FORESTVILLE, MD 20747
FORESTVILLE, MD 20747
FORESTVILLE, MD 20747
FORESTVILLE, MD 20747
DISTRICT HEIGHTS, MD 20747
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 Reynaldo De La Cruz's NPI number?
The NPI number for Reynaldo De La Cruz is 1104630003. It was assigned to this individual provider in the NPPES registry on February 3, 2025.
Where is Reynaldo De La Cruz located?
Reynaldo De La Cruz practices at 7420 Marlboro Pike, Forestville, MD 20747. The listed phone number is (301) 736-0240.
What is Reynaldo De La Cruz's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Reynaldo De La Cruz enrolled in Medicare?
Yes. Reynaldo 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 Reynaldo De La Cruz's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Reynaldo De La Cruz reassigns Medicare benefits to 4 organizations: M Medical Group, Inc. (Clinton, MD), Harmony Medical Transitions LLC (Alexandria, VA), Falls Church Pediatrics (Falls Church, VA) and Snf Physiatry Services MD LLC (Baltimore, MD). 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 Reynaldo De La Cruz's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Reynaldo De La Cruz was last updated on May 19, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.
# Mr. Reynaldo De La Cruz Jr. · NPI 1104630003
Family physician in Forestville, Maryland. Individual provider, active in the CMS NPPES registry since February 3, 2025.
## Identity
- **NPI:** 1104630003 (Entity type: Individual)
- **Enumerated:** February 3, 2025
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** AC007598 (Maryland)
- **Sole proprietor:** No
## Practice location
- **Address:** 7420 MARLBORO PIKE, Forestville, MD 20747-4343
- **Phone:** (301) 736-0240 · **Fax:** (240) 628-7472
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 4 organizations under Medicare reassignment (form CMS-855R): M Medical Group, Inc. (NPI 1780056168, Clinton, MD); Harmony Medical Transitions LLC (NPI 1639840952, Alexandria, VA); Falls Church Pediatrics (NPI 1588481576, Falls Church, VA); Snf Physiatry Services MD LLC (NPI 1508668542, Baltimore, MD) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2023
## Record status
- **NPPES last updated:** May 19, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1104630003) · Data from the CMS NPPES public registry.