Active NPI
Edith D. Dela Cruz, M.D.
- Pediatrics Physician
- Birmingham, AL
National Provider Identifier
1023118676
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 17232
- Practice address
- 200 Beacon Pkwy W
Suite 330
Birmingham, AL 35209-3102 - Phone
- (205) 715-5910
- Fax
- (205) 715-5928
- NPI assigned
- Sep 24, 2006
- Last updated
- Jul 8, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 17232 | AL | Primary |
Addresses
Primary practice location
200 Beacon Pkwy W
Suite 330
Birmingham, AL 35209-3102
Mailing address
722 Stone Ave
Talladega, AL 35160-2219
Phone (256) 362-1725
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000085191 | Medicaid | AL | |
| 85191 | Other | AL | BC/BS |
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)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 17232 | AL | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Baptist Health Centers, LLC | Past | Accepting new patients | |
| Baptist Health Centers LLC | Past | Accepting new patients |
Interoperability endpoints
- edelacruz1927@baptisthealthaldirect.org
Organizations & group practices 2
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.
-
dba Baptist Health Medical Group
- Health Service Clinic/Center
- Winfield, AL
- NPI 1265496236
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159056000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1023118676",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "722 STONE AVE",
"city": "TALLADEGA",
"state": "AL",
"postal_code": "351602219",
"telephone_number": "256-362-1725",
"fax_number": "256-362-2070"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 BEACON PKWY W",
"address_2": "SUITE 330",
"city": "BIRMINGHAM",
"state": "AL",
"postal_code": "352093102",
"telephone_number": "205-715-5910",
"fax_number": "205-715-5928"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DELA CRUZ",
"first_name": "EDITH",
"middle_name": "D.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-24",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "AL",
"license": "17232",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000085191",
"state": "AL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BC/BS",
"identifier": "85191",
"state": "AL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Birmingham, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.