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ROGELIO DELA CRUZ MD
NPI 1386610210
Emergency Medicine - Pediatric Emergency Medicine in Columbus, GA

Active since February 28, 2006PECOS Enrolled
710 CENTER ST, COLUMBUS, GA 31901(706) 571-1311 Get Directions Write a Review

NPPES record last updated: August 12, 2022. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Aug 12, 2022, Mar 23, 2021, Feb 5, 2021 and 1 more (4 updates tracked since 2018).

About Rogelio Dela Cruz Md NPPES

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

ROGELIO DELA CRUZ MD (NPI 1386610210) is an individual pediatric emergency medicine provider in Columbus, Georgia, licensed in Georgia (054482) and active in the NPI registry since February 2006. He is enrolled in Medicare PECOS and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1386610210
Entity TypeIndividualMale
Primary Taxonomy207PP0204X
Provider Legal NameROGELIO DELA CRUZCredential: MD
Location Address710 CENTER STColumbus, GA 31901-1527
Mailing Address2490 Riverside Dr, Ste BMacon, GA 31204-1787 · (478) 633-7140
Phone(706) 571-1311
Sole ProprietorNo
Enumeration DateFebruary 28, 2006
Last NPPES UpdateAugust 12, 20224 updates tracked since enumeration
NPPES CertifiedAugust 12, 2022
✔ NPI 1386610210 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyEmergency Medicine · Pediatric Emergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207PP0204X
License✔ Licensed in GA · 054482
Definition
Pediatric Emergency Medicine is a clinical subspecialty that focuses on the care of the acutely ill or injured child in the setting of an emergency department.
Also ListedPediatricsTaxonomy 208000000X · License 054482 (GA)
Also ListedPediatrics · Pediatric Critical Care MedicineTaxonomy 2080P0203X · License 054482 (GA)
710 CENTER ST, Columbus, GA 31901
Open in Google Maps ↗

Secondary Practice Locations 3

Location 13651 Wheeler RdAugusta, GA 30909-6521 · Phone (706) 863-9595 · Fax (706) 447-7137
Location 23675 J Dewey Gray Cir Ste 300Augusta, GA 30909-1868 · Phone (706) 863-9595 · Fax (706) 447-7137
Location 3777 Hemlock St, msc 83Macon, GA 31201-2102 · Phone (478) 633-7140

Other Identifiers 1

Medicaid754171554BGA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter from Absolute Total Care, Ambetter Health 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 (PECOS)

Rogelio Dela Cruz Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Reassignments

5

Medicare enrollment records show Rogelio Dela Cruz reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Emergency Group Of Columbus, LLC
Same address
Emergency Medicine
710 CENTER ST
Columbus, GA 31901
  • Reassigned Medicare billing, Georgia enrollment
  • 236 clinicians in this Medicare group
NPI 1316458227 (706) 571-1000
Central Georgia Emergency Group, LLC
82 mi
Emergency Medicine
777 HEMLOCK ST
Macon, GA 31201
  • Reassigned Medicare billing, Georgia enrollment
  • 108 clinicians in this Medicare group
NPI 1598126641 (478) 633-1000
Joseph M Still Burn Centers, Inc
180 mi
Specialist
3675 J DEWEY GRAY CIRCLE, SUITE 300
Augusta, GA 30909
  • Reassigned Medicare billing, Georgia enrollment
  • 33 clinicians in this Medicare group
NPI 1215904909 (706) 863-9595
Emergency Coverage, LLC
261 mi
Family Medicine
435 2ND ST
Newport, TN 37821
  • Reassigned Medicare billing, Virginia enrollment
  • 679 clinicians in this Medicare group
NPI 1427005008 (423) 625-2200
Acs Primary Care Physicians - Southeast PC
368 mi
Emergency Medicine
809 82ND PKWY
Myrtle Beach, SC 29572
  • Reassigned Medicare billing, Georgia enrollment
  • 586 clinicians in this Medicare group
NPI 1861430555 (843) 692-1000

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 31901 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
$83.23 typical visit price
range $53.31 – $164.04
Typical copayment $20.80 (range $13.32 – $41.01)
Most-billed visit code 99203
Established Patient
$94.84 typical visit price
range $16.68 – $133.24
Typical copayment $23.71 (range $4.17 – $33.31)
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.

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.

DR. NISHANT MICHAEL DE QUADROS M.D.
Radiology (Diagnostic Radiology)
710 CENTER ST, THE MEDICAL CENTER
COLUMBUS, GA 31901
Muscogee County (706) 501-1000
ARNOLD NONGMOH FORLEMU MD
Internal Medicine (Gastroenterology)
710 CENTER ST
COLUMBUS, GA 31901
Muscogee County (706) 324-6365
SAMUEL SOLOMON MARKS
Nurse Anesthetist, Certified Registered
710 CENTER ST
COLUMBUS, GA 31901
Muscogee County (706) 571-1000
BIBIDH SUBEDI
Pharmacist
710 CENTER ST
COLUMBUS, GA 31901
Muscogee County (706) 571-1495
SUBHENDU DE MD
Pediatrics (Pediatric Critical Care Medicine)
710 CENTER ST
COLUMBUS, GA 31901
Muscogee County (706) 571-1311
THE MEDICAL CENTER, INC.
Ambulance (Land Transport)
710 CENTER ST
COLUMBUS, GA 31901
Muscogee County (706) 660-6101
DR. JAMES CUNNINGHAM MD
Surgery (Surgical Critical Care)
710 CENTER ST
COLUMBUS, GA 31901
Muscogee County (706) 571-1454
MRS. SARAH KATHARINE WINTER THORNBURY N.P.
Nurse Practitioner (Pediatrics)
710 CENTER ST
COLUMBUS, GA 31901
Muscogee County (334) 444-3340

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 Rogelio Dela Cruz's NPI number?

The NPI number for Rogelio Dela Cruz is 1386610210. It was assigned to this individual provider in the NPPES registry on February 28, 2006.

Where is Rogelio Dela Cruz located?

Rogelio Dela Cruz practices at 710 Center St, Columbus, GA 31901. The listed phone number is (706) 571-1311.

What is Rogelio Dela Cruz's specialty?

The primary specialty registered for this NPI is Emergency Medicine, specializing in Pediatric Emergency Medicine, with taxonomy code 207PP0204X.

Is Rogelio Dela Cruz enrolled in Medicare?

Yes. Rogelio Dela Cruz is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Rogelio Dela Cruz's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Rogelio Dela Cruz reassigns Medicare benefits to 5 organizations: Emergency Group Of Columbus, LLC (Columbus, GA), Central Georgia Emergency Group, LLC (Macon, GA), Joseph M Still Burn Centers, Inc (Augusta, GA), Emergency Coverage, LLC (Newport, TN) and Acs Primary Care Physicians - Southeast PC (Myrtle Beach, SC). 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 Rogelio Dela Cruz's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Rogelio Dela Cruz accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter from Absolute Total Care, Ambetter of North Carolina and Blue Cross and Blue Shield of Alabama list Rogelio Dela 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.

When was this NPI record last updated?

The NPPES record for Rogelio Dela Cruz was last updated on August 12, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.