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DR. CHARLES DELA CRUZ MD PHD
NPI 1467548396
Internal Medicine in New Haven, CT

Active since October 05, 2006PECOS Enrolled
73.56/100
CMS Quality Rating
293 SUMMIT STREET, NEW HAVEN, CT 06513(203) 710-4688 Get Directions Write a Review

NPPES record last updated: May 11, 2009. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Charles Dela Cruz Md Phd NPPES

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

DR. CHARLES DELA CRUZ MD PHD (NPI 1467548396) is an individual internal medicine provider in New Haven, Connecticut, licensed in Connecticut (044484) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1467548396
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. CHARLES DELA CRUZCredential: MD PHD
Location Address293 SUMMIT STREETNew Haven, CT 06513
Mailing Address293 Summit StNew Haven, CT 06513-4104 · (203) 710-4688
Phone(203) 710-4688
Sole ProprietorYes
Enumeration DateOctober 5, 2006
Last NPPES UpdateMay 11, 2009
✔ NPI 1467548396 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in CT · 044484
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedInternal Medicine · Critical Care MedicineTaxonomy 207RC0200X · License 044484 (CT)
Also ListedInternal Medicine · Pulmonary DiseaseTaxonomy 207RP1001X · License 044484 (CT)
293 SUMMIT STREET, New Haven, CT 06513
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Charles Dela Cruz Md Phd 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 Reassignment

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

Yale University
2.6 mi
Advanced Practice Midwife
100 CHURCH ST S STE 200, YALE SCHOOL OF NURSING
New Haven, CT 06519
  • Reassigned Medicare billing, Connecticut enrollment
  • 3,728 clinicians in this Medicare group
NPI 1124148887 (203) 737-5432

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 06513 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
$138.84 typical visit price
range $60.82 – $183.10
Typical copayment $34.71 (range $15.20 – $45.77)
Most-billed visit code 99204
Established Patient
$106.68 typical visit price
range $19.76 – $149.26
Typical copayment $26.67 (range $4.94 – $37.31)
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.

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.

73.56/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality75.84
Promoting Interoperability74
Improvement Activities40
Cost51.43

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 Charles Dela Cruz's NPI number?

The NPI number for Charles Dela Cruz is 1467548396. It was assigned to this individual provider in the NPPES registry on October 5, 2006.

Where is Charles Dela Cruz located?

Charles Dela Cruz practices at 293 Summit Street, New Haven, CT 06513. The listed phone number is (203) 710-4688.

What is Charles Dela Cruz's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Charles Dela Cruz enrolled in Medicare?

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

Which organization bills Medicare for Charles Dela Cruz's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Charles Dela Cruz reassigns Medicare benefits to Yale University (New Haven, CT). 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 Charles Dela Cruz's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Charles Dela Cruz was last updated on May 11, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.