Active NPI
Pablito Dela Cruz, M.D.
- Pediatrics Physician
- Terre Haute, IN
National Provider Identifier
1003870791
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 01059798
- Practice address
- 1310 E Davis Dr
Terre Haute, IN 47802-4034 - Phone
- (812) 232-7337
- Fax
- (812) 232-7338
- NPI assigned
- Apr 12, 2006
- Last updated
- Dec 20, 2013
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 01059798 | IN | Primary |
| Neurology with Special Qualifications in Child Neurology Physician | 2084N0402X | 01059798A | IN |
Addresses
Primary practice location
1310 E Davis Dr
Terre Haute, IN 47802-4034
Mailing address
1310 E Davis Dr
Terre Haute, IN 47802-4034
Phone (812) 232-7337
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200507050 | Medicaid | IN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 243 | NY | MD | Acupuncturist |
| 01059798A | IN | MD | Neurology with Special Qualifications in Child Neurology Physician |
| 000243 | NY | MD | Audiologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Union Hospital Inc. | Current | Accepting new patients | |
| Major Hospital | Past | Accepting new patients |
Interoperability endpoints
- pablito.dela-cruz.1@26578.direct.athenahealth.com
- pdelacruz@unionhealth.cernerdirect.com
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Pediatrics Physician
- Terre Haute, IN
- NPI 1588605349
-
- General Acute Care Hospital
- Terre Haute, IN
- NPI 1619975331
-
- General Acute Care Hospital
- Shelbyville, IN
- NPI 1174555692
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144800000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1387497600000",
"number": "1003870791",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1310 E DAVIS DR",
"city": "TERRE HAUTE",
"state": "IN",
"postal_code": "478024034",
"telephone_number": "812-232-7337",
"fax_number": "812-232-7338"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1310 E DAVIS DR",
"city": "TERRE HAUTE",
"state": "IN",
"postal_code": "478024034",
"telephone_number": "812-232-7337",
"fax_number": "812-232-7338"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DELA CRUZ",
"first_name": "PABLITO",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-04-12",
"last_updated": "2013-12-20",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "IN",
"license": "01059798",
"primary": true
},
{
"code": "2084N0402X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology",
"state": "IN",
"license": "01059798A",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200507050",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Terre Haute, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.