DR. PRISCILLA M DE LA CRUZ MD
NPI 1366977357
Internal Medicine - Pulmonary Disease in Indianapolis, IN

Active since April 27, 2017PECOS EnrolledAccepts Medicare Assignment
1120 W MICHIGAN STREET, GATCH HALL CL 285, INDIANAPOLIS, IN 46202(317) 278-0042 Get Directions Write a Review

NPPES record last updated: August 26, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Dr. Priscilla M De La Cruz Md NPPES

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

DR. PRISCILLA M DE LA CRUZ MD (NPI 1366977357) is an individual pulmonary disease provider in Indianapolis, Indiana, licensed in New Mexico (MD2024-0300) and active in the NPI registry since April 2017. She is enrolled in Medicare PECOS, is affiliated with Unm Hospital, and maintains a secondary practice location in Buffalo.

NPPES Registry Identity

NPI1366977357
Entity TypeIndividualFemale
Primary Taxonomy207RP1001X
Provider Legal NameDR. PRISCILLA M DE LA CRUZCredential: MD
Location Address1120 W MICHIGAN STREET, GATCH HALL CL 285Indianapolis, IN 46202
Mailing Address250 N Shadeland AveIndianapolis, IN 46219-4959
Sole ProprietorNo
Medical School CMSAlbany Medical College Of Union UniversityGraduated 2017
Enumeration DateApril 27, 2017
Last NPPES UpdateAugust 26, 2024
NPPES CertifiedAugust 26, 2024
NPI 1366977357 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RP1001X
Licenses Licensed in NM · MD2024-0300 Licensed in IN · 01083580A
Definition

An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.

Also ListedInternal Medicine · Critical Care MedicineTaxonomy 207RC0200X · License 01083580A (IN), MD2024-0300 (NM)
1120 W MICHIGAN STREET, Indianapolis, IN 46202

Secondary Practice Location 1

Location 1462 Grider StBuffalo, NY 14215-3021 · Phone (716) 898-3941 · Fax (716) 898-3279

Other Identifiers 2

Medicaid300037383IN
Other267030312IN · Medicare Ptan

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

Dr. Priscilla M 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 ID5890032189
PECOS Enrollment IDI20240907000651
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.

Hospital Affiliations CMS Care Compare

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

Unm Hospital

Acute Care Hospitals · Albuquerque, NM
2/5 CMS rating
OwnershipGovernment - State
CMS Certification Number320001
Location2211 Lomas Boulevard NEAlbuquerque, NM 87106 · Bernalillo County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46202 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
$122.49 typical visit price
range $53.07 – $161.76
Typical copayment $30.62 (range $13.26 – $40.44)
Most-billed visit code 99204
Established Patient
$94.22 typical visit price
range $16.93 – $132.22
Typical copayment $23.55 (range $4.23 – $33.05)
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.

Referred Medical Equipment & Supplies CMS DME claims 2

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

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
3 suppliers17 claims17 services$66.04 avg. paid by Medicare
Portable oxygen concentrator, rental E1392
DME-Oxygen and Supplies · category DC002N
2 suppliers16 claims16 services$32.47 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 2

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

Internal Medicine (Endocrinology, Diabetes & Metabolism)
1120 W MICHIGAN STREET, # CL365
INDIANAPOLIS, IN 46202
Internal Medicine
1120 W MICHIGAN STREET, GATCH HALL 370
INDIANAPOLIS, IN 46202

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 Priscilla De La Cruz's NPI number?

The NPI number for Priscilla De La Cruz is 1366977357. It was assigned to this individual provider in the NPPES registry on April 27, 2017.

Where is Priscilla De La Cruz located?

Priscilla De La Cruz practices at 1120 W Michigan Street Gatch Hall Cl 285, Indianapolis, IN 46202. The listed phone number is (317) 278-0042.

What is Priscilla De La Cruz's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Is Priscilla De La Cruz enrolled in Medicare?

Yes. Priscilla 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 Priscilla De La Cruz affiliated with any hospitals?

According to CMS data, Priscilla De La Cruz is affiliated with Unm Hospital.

When was this NPI record last updated?

The NPPES record for Priscilla De La Cruz was last updated on August 26, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.