ANGEL CRISTIAN DE LA CRUZ TEJADA MD
NPI 1619453412
Internal Medicine - Cardiovascular Disease in North Venice, FL

Q: What is Angel De La Cruz Tejada's NPI number?

The NPI number for Angel De La Cruz Tejada is 1619453412. It was assigned to this individual provider in the NPPES registry on July 14, 2018.

Q: What is Angel De La Cruz Tejada's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Active since July 14, 2018PECOS EnrolledAccepts Medicare Assignment

200 HEALTHCARE WAY UNIT 103, NORTH VENICE, FL 34275(941) 261-0160(941) 261-0165 Get Directions Write a Review

NPPES record last updated: August 3, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Aug 3, 2026, Jul 20, 2026, Jul 8, 2025 and 2 more (5 updates tracked since 2018).

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About Angel Cristian De La Cruz Tejada Md NPPES

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

ANGEL CRISTIAN DE LA CRUZ TEJADA MD (NPI 1619453412) is an individual cardiovascular disease provider in North Venice, Florida, licensed in Florida (ME180359) and active in the NPI registry since July 2018. He is enrolled in Medicare PECOS, is affiliated with The University Of Chicago Medical Center, and is a graduate of Other (2014).

NPPES Registry Identity

NPI1619453412

Entity TypeIndividualMale

Primary Taxonomy207RC0000X

Provider Legal NameANGEL CRISTIAN DE LA CRUZ TEJADACredential: MD

Location Address200 HEALTHCARE WAY UNIT 103North Venice, FL 34275-3670

Mailing AddressPo Box 947407Atlanta, GA 30394-7407 · (941) 917-2600 · Fax (941) 917-7884

Phone(941) 261-0160

Fax(941) 261-0165

Sole ProprietorYes

Medical School CMSOtherGraduated 2014

Enumeration DateJuly 14, 2018

Last NPPES UpdateAugust 3, 20265 updates tracked since enumeration

NPPES CertifiedAugust 3, 2026

✔ NPI 1619453412 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians

Taxonomy Code207RC0000X

License✔ Licensed in FL · ME180359

Definition

An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.

200 HEALTHCARE WAY UNIT 103, North Venice, FL 34275

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Superior HealthPlan, Ambetter Health, Ambetter of Alabama 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 and accepts Medicare assignment

Angel Cristian De La Cruz Tejada 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 ID2062957004

PECOS Enrollment IDI20250801001771

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

Medicare enrollment records show Angel De La Cruz Tejada reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Smh Physician Services Inc

15 mi

Internal Medicine

1700 S TAMIAMI TRL, 1ST FLOOR FPG ADMINISTRATION
Sarasota, FL 34239

Reassigned Medicare billing, Florida enrollment
956 clinicians in this Medicare group

NPI 1346295292 (941) 917-8720

Ucm Medical Group Sub, LLC

1,041 mi

Family Medicine

71 W 156TH ST, 5TH FLOOR
Harvey, IL 60426

Reassigned Medicare billing, Illinois enrollment
126 clinicians in this Medicare group

NPI 1467442293 (708) 915-6353

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 2

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

The University Of Chicago Medical Center

Acute Care Hospitals · Chicago, IL

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number140088

Location5841 South MarylandChicago, IL 60637 · Cook County

Emergency services Birthing friendly

Ingalls Memorial Hospital

Acute Care Hospitals · Harvey, IL

2/5 CMS rating

OwnershipPhysician

CMS Certification Number140191

Location1 Ingalls DriveHarvey, IL 60426 · Cook County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 34275 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

$130.04 typical visit price

range $56.00 – $171.84

Typical copayment $32.51 (range $14.00 – $42.96)

Most-billed visit code 99204

Established Patient

$70.04 typical visit price

range $17.57 – $139.16

Typical copayment $17.51 (range $4.39 – $34.79)

Most-billed visit code 99213

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 9

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

MRS. CHRISTINA KNOTT WOOLFORD PA-C

Physician Assistant (Medical)