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OVEIMAR ALEXANDER DE LA CRUZ
NPI 1295999357
Internal Medicine - Critical Care Medicine in Miami, FL

Active since July 17, 2008PECOS EnrolledAccepts Medicare Assignment
81.31/100
CMS Quality Rating
1801 NW 9TH AVE, MIAMI, FL 33136(305) 355-5000(305) 355-5797 Get Directions Write a Review

NPPES record last updated: April 18, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Apr 18, 2024, Mar 26, 2020 (2 updates tracked since 2020).

About Oveimar Alexander De La Cruz NPPES

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

OVEIMAR ALEXANDER DE LA CRUZ (NPI 1295999357) is an individual critical care medicine provider in Miami, Florida, licensed in Florida (ME150185) and active in the NPI registry since July 2008. He is enrolled in Medicare PECOS, is affiliated with Jackson Health System, and is a graduate of Other (2001).

NPPES Registry Identity

NPI1295999357
Entity TypeIndividualMale
Primary Taxonomy207RC0200X
Provider Legal NameOVEIMAR ALEXANDER DE LA CRUZ
Location Address1801 NW 9TH AVEMiami, FL 33136-1101
Mailing Address1801 Nw 9th AveMiami, FL 33136-1101 · (305) 355-5000 · Fax (305) 355-5797
Phone(305) 355-5000
Fax(305) 355-5797
Sole ProprietorNo
Medical School CMSOtherGraduated 2001
Enumeration DateJuly 17, 2008
Last NPPES UpdateApril 18, 20242 updates tracked since enumeration
NPPES CertifiedApril 18, 2024
✔ NPI 1295999357 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Critical Care MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207RC0200X
License✔ Licensed in FL · ME150185
Definition
An internist who diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists.
Also ListedInternal Medicine · Infectious DiseaseTaxonomy 207RI0200X · License ME150185 (FL)
1801 NW 9TH AVE, Miami, FL 33136
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter of Alabama, AmeriHealth Caritas Next and more.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

Oveimar Alexander De La Cruz 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 ID9032330832
PECOS Enrollment IDI20210708001904
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 Reassignment

Medicare enrollment records show Oveimar De La Cruz reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

University Of Miami
0.1 mi
Ophthalmology
900 NW 17TH ST, BOX 016960 M851
Miami, FL 33136
  • Reassigned Medicare billing, Florida enrollment
  • 3,639 clinicians in this Medicare group
NPI 1073550398 (239) 659-3937

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 3

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.

Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
75 services33 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
56 services31 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
32 services16 patients

Hospital Affiliations CMS Care Compare

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

Jackson Health System

Acute Care Hospitals · Miami, FL
1/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number100022
Location1611 NW 12th AveMiami, FL 33136 · Miami-Dade County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33136 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
$141.56 typical visit price
range $60.92 – $187.05
Typical copayment $35.39 (range $15.23 – $46.76)
Most-billed visit code 99204
Established Patient
$107.17 typical visit price
range $18.99 – $150.24
Typical copayment $26.79 (range $4.74 – $37.56)
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.

81.31/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality78.45
Promoting Interoperability100
Improvement Activities40
Cost50.59

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.

CAROLINE PIACENTINI HARDY ARNP
Nurse Practitioner (Family)
1801 NW 9TH AVE
MIAMI, FL 33136
Miami-Dade County (305) 243-2762
MISS CRISTINA LYNN KONIVER MSN, APRN, AGACNP-BC
Nurse Practitioner (Acute Care)
1801 NW 9TH AVE
MIAMI, FL 33136
Miami-Dade County (305) 355-5000
TIAGO NOGUCHI MACHUCA MD
Thoracic Surgery (Cardiothoracic Vascular Surgery)
1801 NW 9TH AVE
MIAMI, FL 33136
Miami-Dade County (305) 355-5000
ALEJANDRO VALDES MD
Internal Medicine (Nephrology)
1801 NW 9TH AVE
MIAMI, FL 33136
Miami-Dade County (513) 502-5249
MRS. LYNDA SAINTILNOR DOREST ARNP
Nurse Practitioner (Family)
1801 NW 9TH AVE
MIAMI, FL 33136
Miami-Dade County (305) 585-6092
HODA BUTROUS MD
Internal Medicine (Advanced Heart Failure and Transplant Cardiology)
1801 NW 9TH AVE
MIAMI, FL 33136
Miami-Dade County (305) 355-5348
LYZ EIDAM APRN
Nurse Practitioner (Family)
1801 NW 9TH AVE
MIAMI, FL 33136
Miami-Dade County (786) 761-8245
THILAGAVATHI VENKATACHALAM MD
Internal Medicine (Nephrology)
1801 NW 9TH AVE
MIAMI, FL 33136
Miami-Dade County (305) 355-5000

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 Oveimar De La Cruz's NPI number?

The NPI number for Oveimar De La Cruz is 1295999357. It was assigned to this individual provider in the NPPES registry on July 17, 2008.

Where is Oveimar De La Cruz located?

Oveimar De La Cruz practices at 1801 NW 9th Ave, Miami, FL 33136. The listed phone number is (305) 355-5000.

What is Oveimar De La Cruz's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Critical Care Medicine, with taxonomy code 207RC0200X.

Is Oveimar De La Cruz enrolled in Medicare?

Yes. Oveimar 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 organization bills Medicare for Oveimar De La Cruz's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Oveimar De La Cruz reassigns Medicare benefits to University Of Miami (Miami, FL). 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 Oveimar De La Cruz's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Oveimar De La Cruz accept?

Health plans from Ambetter Health, Ambetter of Alabama, AmeriHealth Caritas Next, Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) and 1 other insurer list Oveimar 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.

Is Oveimar De La Cruz affiliated with any hospitals?

According to CMS data, Oveimar De La Cruz is affiliated with Jackson Health System.

When was this NPI record last updated?

The NPPES record for Oveimar De La Cruz was last updated on April 18, 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.