DR. PRISCILLA M DE LA CRUZ MD
NPI 1366977357
Internal Medicine - Pulmonary Disease in Indianapolis, IN
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
Specialties & Licenses 2
Secondary Practice Location 1
Other Identifiers 2
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
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.
Medicare Billing Reassignments
2Medicare enrollment records show Priscilla De La Cruz reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Indianapolis, IN 46202
- Reassigned Medicare billing, Indiana enrollment
- 318 clinicians in this Medicare group
Albuquerque, NM 87106
- Reassigned Medicare billing, New Mexico enrollment
- 2,105 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.
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, NMPhysician 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.
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.
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.
Which organizations bill Medicare for Priscilla De La Cruz's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Priscilla De La Cruz reassigns Medicare benefits to 2 organizations: Indiana Clinic Critical Care LLC (Indianapolis, IN) and Unm Medical Group Inc (Albuquerque, NM). 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 Priscilla De La Cruz's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
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 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.
# Dr. Priscilla M De La Cruz, MD · NPI 1366977357
Pulmonary Disease physician in Indianapolis, Indiana. Individual provider, active in the CMS NPPES registry since April 27, 2017.
## Identity
- **NPI:** 1366977357 (Entity type: Individual)
- **Enumerated:** April 27, 2017
- **Primary specialty:** Internal Medicine - Pulmonary Disease · taxonomy 207RP1001X
- **State license:** MD2024-0300 (New Mexico)
- **Sole proprietor:** No
## Practice location
- **Address:** 1120 W MICHIGAN STREET, GATCH HALL CL 285, Indianapolis, IN 46202
- **Phone:** (317) 278-0042
## 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:** 2 organizations under Medicare reassignment (form CMS-855R): Indiana Clinic Critical Care LLC (NPI 1417285230, Indianapolis, IN); Unm Medical Group Inc (NPI 1831218627, Albuquerque, NM) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Albany Medical College Of Union University, class of 2017
## Record status
- **NPPES last updated:** August 26, 2024
- **Other identifiers:** Medicaid 300037383 (IN); Other 267030312 (IN)
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Source: [NPI Profile](https://npiprofile.com/npi/1366977357) · Data from the CMS NPPES public registry.