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CAROLYN DE LA CRUZ
NPI 1356315956
Specialist in Pittsburgh, PA

Active since February 13, 2006PECOS EnrolledAccepts Medicare Assignment
77.5/100
CMS Quality Rating
300 HALKET ST, SUITE 2541, PITTSBURGH, PA 15213(412) 648-9670 Get Directions Write a Review

NPPES record last updated: March 25, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Carolyn De La Cruz NPPES

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

CAROLYN DE LA CRUZ (NPI 1356315956) is an individual specialist in Pittsburgh, Pennsylvania, licensed in Pennsylvania (MD424957) and active in the NPI registry since February 2006. She is enrolled in Medicare PECOS, is affiliated with Upmc Passavant, and is a graduate of Eastern Virginia Medical School (1994).

NPPES Registry Identity

NPI1356315956
Entity TypeIndividualFemale
Primary Taxonomy174400000X
Provider Legal NameCAROLYN DE LA CRUZ
Location Address300 HALKET ST, SUITE 2541Pittsburgh, PA 15213-3108
Mailing Address300 Halket St, Suite 2541Pittsburgh, PA 15213-3108
Phone(412) 648-9670
Sole ProprietorNo
Medical School CMSEastern Virginia Medical SchoolGraduated 1994
Enumeration DateFebruary 13, 2006
Last NPPES UpdateMarch 25, 2021
✔ NPI 1356315956 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in PA · MD424957
Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

300 HALKET ST, Pittsburgh, PA 15213
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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

Carolyn 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 ID3971571613
PECOS Enrollment IDI20040921000687
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 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.

Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
71 services56 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.
32 services32 patients
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.
19 services16 patients

Hospital Affiliations CMS Care Compare 3

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

Upmc Passavant

Acute Care Hospitals · Pittsburgh, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390107
Location9100 Babcock BoulevardPittsburgh, PA 15237 · Allegheny County
Emergency services

Magee Womens Hospital Of Upmc Health System

Acute Care Hospitals · Pittsburgh, PA
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number390114
Location300 Halket StreetPittsburgh, PA 15213 · Allegheny County
Emergency services Birthing friendly

Upmc Presbyterian Shadyside

Acute Care Hospitals · Pittsburgh, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390164
Location200 Lothrop StreetPittsburgh, PA 15213 · Allegheny County
Emergency services

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.

77.5/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality68.61
Promoting Interoperability100
Improvement Activities40
Cost56.4

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.

KIMBERLY BARCASKEY
Nurse Practitioner (Obstetrics & Gynecology)
300 HALKET ST, SUITE 0610
PITTSBURGH, PA 15213
Allegheny County (412) 641-6412
CHELSEA RENEE ANDERSON
Nurse Practitioner
300 HALKET ST
PITTSBURGH, PA 15213
Allegheny County (412) 354-3907
ALLISON JOY DIPLACIDO
Nurse Practitioner (Neonatal, Critical Care)
300 HALKET ST
PITTSBURGH, PA 15213
Allegheny County (844) 300-7606
MEENA SETHURAMAN MD
Student in an Organized Health Care Education/Training Program
300 HALKET ST
PITTSBURGH, PA 15213
Allegheny County (412) 641-4455
JEFFREY FINE
Pathology (Anatomic Pathology & Clinical Pathology)
300 HALKET ST
PITTSBURGH, PA 15213
Allegheny County (412) 641-5400
ZENAIDA ROSADO
Obstetrics & Gynecology
300 HALKET ST, SUITE 5120
PITTSBURGH, PA 15213
Allegheny County (412) 641-6476
EDNA CHEUNG PHARM.D.
Pharmacist
300 HALKET ST
PITTSBURGH, PA 15213
Allegheny County (412) 641-4356
BENJAMIN ASCARI CRNA
Nurse Anesthetist, Certified Registered
300 HALKET ST, UPMC EAST
PITTSBURGH, PA 15213
Allegheny County (866) 696-2433

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 Carolyn De La Cruz's NPI number?

The NPI number for Carolyn De La Cruz is 1356315956. It was assigned to this individual provider in the NPPES registry on February 13, 2006.

Where is Carolyn De La Cruz located?

Carolyn De La Cruz practices at 300 Halket St Suite 2541, Pittsburgh, PA 15213. The listed phone number is (412) 648-9670.

What is Carolyn De La Cruz's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Is Carolyn De La Cruz enrolled in Medicare?

Yes. Carolyn 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.

Is Carolyn De La Cruz affiliated with any hospitals?

According to CMS data, Carolyn De La Cruz is affiliated with Upmc Passavant, Magee Womens Hospital Of Upmc Health System and Upmc Presbyterian Shadyside.

When was this NPI record last updated?

The NPPES record for Carolyn De La Cruz was last updated on March 25, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.