Kim I De La Cruz, MD - Medicare Thoracic Surgery (Cardiothoracic Vascular Surgery) in Charlottesville, VA

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Kim I De La Cruz, MD is a medicare enrolled "Thoracic Surgery (cardiothoracic Vascular Surgery)" physician in Charlottesville, Virginia. His current practice location is 1215 Lee St Ste 4077, Charlottesville, Virginia. You can reach out to his office (for appointments etc.) via phone at (434) 924-9300.

Kim I De La Cruz is licensed to practice in Virginia (license number 0101242365) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1902059447.

Contact Information

Kim I De La Cruz, MD
1215 Lee St Ste 4077,
Charlottesville, VA 22908-3771
(434) 924-9300
Not Available

Map and Direction




Physician's Profile

Full NameKim I De La Cruz
GenderMale
SpecialityThoracic Surgery (cardiothoracic Vascular Surgery)
Location1215 Lee St Ste 4077, Charlottesville, Virginia
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1902059447
  • Provider Enumeration Date: 10/28/2008
  • Last Update Date: 10/02/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 6709056302
  • Enrollment ID: I20110908001760

Medical Identifiers

Medical identifiers for Kim I De La Cruz such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1902059447NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208G00000XThoracic Surgery (cardiothoracic Vascular Surgery) 0101242365 (Virginia)Primary
208600000XSurgery 292123 (Massachusetts)Secondary
208G00000XThoracic Surgery (cardiothoracic Vascular Surgery) N0722 (Texas)Secondary
208G00000XThoracic Surgery (cardiothoracic Vascular Surgery) 292123 (Massachusetts)Secondary
208600000XSurgery 0101242365 (Virginia)Secondary
208600000XSurgery N0722 (Texas)Secondary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Kim I De La Cruz allows following entities to bill medicare on his behalf.
Entity NameBaylor College Of Medicine
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1053352914
PECOS PAC ID: 8224941265
Enrollment ID: O20031106000562
Entity NameBaylor College Of Medicine
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1881026664
PECOS PAC ID: 8022243971
Enrollment ID: O20131030000972

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kim I De La Cruz is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Kim I De La Cruz, MD
Po Box 749112,
Atlanta, GA 30374-9112

Ph: (434) 295-1000		Kim I De La Cruz, MD
1215 Lee St Ste 4077,
Charlottesville, VA 22908-3771

Ph: (434) 924-9300

Reviews and Comments


Thoracic Surgery (Cardiothoracic Vascular Surgery) Doctors in Charlottesville, VA

Christopher D Willms, M D
Thoracic Surgery (Cardiothoracic Vascular Surgery)
Medicare: Medicare Enrolled
Practice Location: 500 Martha Jefferson Dr Fl 5, Charlottesville, VA 22911
Phone: 434-654-5260    Fax: 434-654-5261
Adanna Akujuo, MD
Thoracic Surgery (Cardiothoracic Vascular Surgery)
Medicare: Accepting Medicare Assignments
Practice Location: 1215 Lee St, Charlottesville, VA 22908
Phone: 434-243-1000    
John A. Kern,
Thoracic Surgery (Cardiothoracic Vascular Surgery)
Medicare: Accepting Medicare Assignments
Practice Location: 1215 Lee St, Charlottesville, VA 22908
Phone: 434-243-1000    Fax: 434-243-7551
Marissa L. Lamoure, PA
Thoracic Surgery (Cardiothoracic Vascular Surgery)
Medicare: Accepting Medicare Assignments
Practice Location: 1215 Lee St, Charlottesville, VA 22908
Phone: 434-924-0000    
Dr. Thomas M. Daniel, M.D.
Thoracic Surgery (Cardiothoracic Vascular Surgery)
Medicare: Not Enrolled in Medicare
Practice Location: 1822 Westview Road, Charlottesville, VA 22903
Phone: 434-295-1875    Fax: 434-295-9104
Erik Joseph Scott, M.D.
Thoracic Surgery (Cardiothoracic Vascular Surgery)
Medicare: Medicare Enrolled
Practice Location: 1215 Lee St, Box 800719, Charlottesville, VA 22908
Phone: 434-924-2150    
Leora T. Yarboro, M.D.
Thoracic Surgery (Cardiothoracic Vascular Surgery)
Medicare: Accepting Medicare Assignments
Practice Location: 1215 Lee St, Charlottesville, VA 22908
Phone: 434-243-1000    Fax: 434-243-7551

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.