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SOFIA VIOLETA DE LA CRUZ MD
NPI 1982258844
Family Medicine in Halfmoon, NY

Active since July 30, 2019PECOS EnrolledAccepts Medicare Assignment
1783 ROUTE 9 STE 201, HALFMOON, NY 12065(518) 371-9355(518) 373-9139 Get Directions Write a Review

NPPES record last updated: November 8, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 8, 2024, Jul 30, 2019 (2 updates tracked since 2019).

About Sofia Violeta De La Cruz Md NPPES

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

SOFIA VIOLETA DE LA CRUZ MD (NPI 1982258844) is an individual family medicine provider in Halfmoon, New York, licensed in New York (333177) and active in the NPI registry since July 2019. She is enrolled in Medicare PECOS, is affiliated with Ellis Hospital, and is a graduate of Other (2017).

NPPES Registry Identity

NPI1982258844
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameSOFIA VIOLETA DE LA CRUZCredential: MD
Location Address1783 ROUTE 9 STE 201Halfmoon, NY 12065-2466
Mailing Address6 Wellness Way Ste 201Latham, NY 12110-2156 · (518) 782-3700 · Fax (518) 782-3799
Phone(518) 371-9355
Fax(518) 373-9139
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateJuly 30, 2019
Last NPPES UpdateNovember 8, 20242 updates tracked since enumeration
NPPES CertifiedNovember 8, 2024
✔ NPI 1982258844 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in NY · 333177
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
1783 ROUTE 9 STE 201, Halfmoon, NY 12065
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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

Sofia Violeta 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.

PECOS PAC ID4981132511
PECOS Enrollment IDI20250110001315
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 3

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.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
16 services16 patients
Blood test, comprehensive group of blood chemicals 80053
A comprehensive group of blood chemicals test, also known as a comprehensive metabolic panel, is a blood test that measures your sugar level, electrolyte and fluid balance, kidney function, and liver function. This helps to check your body's overall health.
11 services11 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
11 services11 patients

Hospital Affiliations CMS Care Compare

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

Ellis Hospital

Acute Care Hospitals · Schenectady, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330153
Location1101 Nott StreetSchenectady, NY 12308 · Schenectady County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 12065 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
$84.93 typical visit price
range $54.87 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$97.08 typical visit price
range $17.54 – $136.14
Typical copayment $24.27 (range $4.38 – $34.03)
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.

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 Sofia De La Cruz's NPI number?

The NPI number for Sofia De La Cruz is 1982258844. It was assigned to this individual provider in the NPPES registry on July 30, 2019.

Where is Sofia De La Cruz located?

Sofia De La Cruz practices at 1783 Route 9 Ste 201, Halfmoon, NY 12065. The listed phone number is (518) 371-9355.

What is Sofia De La Cruz's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Sofia De La Cruz enrolled in Medicare?

Yes. Sofia 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.

Is Sofia De La Cruz affiliated with any hospitals?

According to CMS data, Sofia De La Cruz is affiliated with Ellis Hospital.

When was this NPI record last updated?

The NPPES record for Sofia De La Cruz was last updated on November 8, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 months 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.