Rafael De La Cruz, MD - Medicare Infectious Disease in Alton, IL

Rafael De La Cruz, MD is a medicare enrolled "Internal Medicine - Infectious Disease" physician in Alton, Illinois. He graduated from medical school in 1995 and has 29 years of diverse experience with area of expertise as Infectious Disease. He is a member of the group practice Fairview Heights Medical Group Sc, Fairview Heights Medical Group Sc and his current practice location is 4 Memorial Dr Ste 230b, Alton, Illinois. You can reach out to his office (for appointments etc.) via phone at (636) 344-2014.

Rafael De La Cruz is licensed to practice in Illinois (license number 036-108921) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1669460655.

Contact Information

Rafael De La Cruz, MD
4 Memorial Dr Ste 230b,
Alton, IL 62002-6705
(636) 344-2014
(314) 747-1476

Map and Direction




Physician's Profile

Full NameRafael De La Cruz
GenderMale
SpecialityInfectious Disease
Experience29 Years
Location4 Memorial Dr Ste 230b, Alton, Illinois
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Rafael De La Cruz graduated from medical school in 1995
  NPI Data:
  • NPI Number: 1669460655
  • Provider Enumeration Date: 10/12/2005
  • Last Update Date: 02/26/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 6204873292
  • Enrollment ID: I20050412000220

Medical Identifiers

Medical identifiers for Rafael De La Cruz such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1669460655NPI-NPPES
1669460655MedicaidMO

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207RI0200XInternal Medicine - Infectious Disease 2008007441 (Missouri)Secondary
207RI0200XInternal Medicine - Infectious Disease 036-108921 (Illinois)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Bjc Home Care ServicesSaint louis, MOHome health agency
Progress West HospitalO fallon, MOHospital
Alton Memorial HospitalAlton, ILHospital
Barnes Jewish HospitalSaint louis, MOHospital
Barnes-jewish St Peters HospitalSaint peters, MOHospital
Missouri Baptist Medical CenterTown and country, MOHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Fairview Heights Medical Group Sc6800784083331
Fairview Heights Medical Group Sc6800784083331

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. Rafael De La Cruz allows following entities to bill medicare on his behalf.
Entity NameFairview Heights Medical Group Sc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1679503668
PECOS PAC ID: 6800784083
Enrollment ID: O20040309000650

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. Rafael 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
Rafael De La Cruz, MD
670 Mason Ridge Center Dr, Ste. 300,
Saint Louis, MO 63141-8573

Ph: (636) 344-2014
Rafael De La Cruz, MD
4 Memorial Dr Ste 230b,
Alton, IL 62002-6705

Ph: (636) 344-2014

Reviews and Comments


Internal Medicine Doctors in Alton, IL

Ibrahim B.i. Elayyan, MD
Infectious Disease
Medicare: Accepting Medicare Assignments
Practice Location: 1 Saint Anthonys Way, Alton, IL 62002
Phone: 314-317-0600    Fax: 314-317-0606
Dr. Barry Michael Mossman, M.D.
Infectious Disease
Medicare: Accepting Medicare Assignments
Practice Location: 2 Memorial Dr, Ste 220, Alton, IL 62002
Phone: 618-474-1723    Fax: 618-474-6989
Dr. Matthew Austin Nations, D.O.
Infectious Disease
Medicare: Accepting Medicare Assignments
Practice Location: 1 Memorial Dr, Alton, IL 62002
Phone: 618-463-7240    
Mr. David Robert Riedel, MD
Infectious Disease
Medicare: Accepting Medicare Assignments
Practice Location: 4 Memorial Dr Ste 230, Alton, IL 62002
Phone: 618-463-7874    Fax: 618-463-7846
Dr. Stanley J Sidwell Iv, MD
Infectious Disease
Medicare: Medicare Enrolled
Practice Location: 1 Memorial Dr, Alton, IL 62002
Phone: 618-463-7240    Fax: 618-463-7216
Dr. Edward B Blair Jr., M.D.
Infectious Disease
Medicare: Not Enrolled in Medicare
Practice Location: 2 Saint Anthonys Way, Suite 205, Alton, IL 62002
Phone: 618-462-2222    Fax: 618-463-5004
Dr. William Ray Bartley, MD
Infectious Disease
Medicare: Accepting Medicare Assignments
Practice Location: 1 Professional Dr, Suite 220, Alton, IL 62002
Phone: 618-463-8626    Fax: 618-463-8688

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.