DR. NESTOR ENRIQUEZ DELA CRUZ M.D.
NPI 1609030238
Pathology - Anatomic Pathology & Clinical Pathology in Mobile, AL

Active since July 14, 2008PECOS EnrolledAccepts Medicare Assignment
2451 UNIVERSITY HOSPITAL DR FL 1, MOBILE, AL 36617(251) 471-7790(251) 471-7096 Get Directions Write a Review

NPPES record last updated: January 16, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Nestor Enriquez Dela Cruz M.d. NPPES

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

DR. NESTOR ENRIQUEZ DELA CRUZ M.D. (NPI 1609030238) is an individual anatomic pathology & clinical pathology provider in Mobile, Alabama, licensed in Alabama (MD.47916) and active in the NPI registry since July 2008. He is enrolled in Medicare PECOS and is a graduate of Other (1981).

NPPES Registry Identity

NPI1609030238
Entity TypeIndividualMale
Primary Taxonomy207ZP0102X
Provider Legal NameDR. NESTOR ENRIQUEZ DELA CRUZCredential: M.D.
Location Address2451 UNIVERSITY HOSPITAL DR FL 1Mobile, AL 36617-2300
Mailing AddressPo Box 746450Atlanta, GA 30374-6450 · (866) 401-3057 · Fax (318) 868-6430
Fax(251) 471-7096
Sole ProprietorNo
Medical School CMSOtherGraduated 1981
Enumeration DateJuly 14, 2008
Last NPPES UpdateJanuary 16, 2024
NPPES CertifiedJanuary 16, 2024
NPI 1609030238 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPathology · Anatomic Pathology & Clinical PathologyAllopathic & Osteopathic Physicians
Taxonomy Code207ZP0102X
Licenses Licensed in AL · MD.47916 Licensed in PA · MT181505 Licensed in LA · MD.205319 Licensed in TX · Q9983
Definition
A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease.
2451 UNIVERSITY HOSPITAL DR FL 1, Mobile, AL 36617

Other Identifiers 1

Medicaid2188364LA

Accepted Insurance

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. Nestor Enriquez Dela Cruz M.d. 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 ID7719129634
PECOS Enrollment IDI20240214003740
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 2

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.

Pathology examination of tissue using a microscope, intermediate complexity 88305
A pathology examination of tissue with intermediate complexity involves studying a small sample of your body tissue under a microscope. This helps in identifying any abnormal cells or signs of disease. It's a detailed process requiring expert analysis to ensure accurate results.
160 services70 patients
Special stained specimen slides to examine tissue, initial procedure 88342
This procedure involves the use of specially stained slides to examine tissue samples. The initial process involves obtaining a small tissue sample from your body. This sample is then placed on a slide and stained with special dyes to highlight different structures and elements. The stained slide is then examined under a microscope to help diagnose any potential health issues.
13 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 36617 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
$122.31 typical visit price
range $52.65 – $161.63
Typical copayment $30.57 (range $13.16 – $40.40)
Most-billed visit code 99204
Established Patient
$93.72 typical visit price
range $16.56 – $131.65
Typical copayment $23.43 (range $4.14 – $32.91)
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 10

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

Pathology (Anatomic Pathology & Clinical Pathology)
2451 UNIVERSITY HOSPITAL DR FL 1
MOBILE, AL 36617
Pathology (Anatomic Pathology & Clinical Pathology)
2451 UNIVERSITY HOSPITAL DR FL 1
MOBILE, AL 36617
Pathology (Anatomic Pathology & Clinical Pathology)
2451 UNIVERSITY HOSPITAL DR FL 1
MOBILE, AL 36617
Pathology (Anatomic Pathology)
2451 UNIVERSITY HOSPITAL DR FL 1
MOBILE, AL 36617
Pathology (Anatomic Pathology & Clinical Pathology)
2451 UNIVERSITY HOSPITAL DR FL 1
MOBILE, AL 36617
Pathology (Anatomic Pathology & Clinical Pathology)
2451 UNIVERSITY HOSPITAL DR FL 1
MOBILE, AL 36617
Pathology (Anatomic Pathology & Clinical Pathology)
2451 UNIVERSITY HOSPITAL DR FL 1
MOBILE, AL 36617
Pathology (Hematology)
2451 UNIVERSITY HOSPITAL DR FL 1
MOBILE, AL 36617

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 Nestor Dela Cruz's NPI number?

The NPI number for Nestor Dela Cruz is 1609030238. It was assigned to this individual provider in the NPPES registry on July 14, 2008.

Where is Nestor Dela Cruz located?

Nestor Dela Cruz practices at 2451 University Hospital Dr Fl 1, Mobile, AL 36617. The listed phone number is (251) 471-7790.

What is Nestor Dela Cruz's specialty?

The primary specialty registered for this NPI is Pathology, specializing in Anatomic Pathology & Clinical Pathology, with taxonomy code 207ZP0102X.

Is Nestor Dela Cruz enrolled in Medicare?

Yes. Nestor Dela 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.

What insurance does Nestor Dela Cruz accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health, Ambetter of Alabama and Ambetter of Tennessee and 3 other insurers list Nestor 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 Nestor Dela Cruz was last updated on January 16, 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.