NPIMap

Individual provider Active NPI

Renato F Delacruz, MD

  • Internal Medicine Physician
  • Saint Clairsville, OH
National Provider Identifier
1174523641
Registry record updated Apr 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
35060832 Issued in OH
Practice address
135 E Main St Ste D
Saint Clairsville, OH 43950-1583
Phone
(740) 296-5702
Fax
(740) 296-5705
NPI assigned
Jul 27, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 26, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 35060832 OH Primary

Addresses

Primary practice location

135 E Main St Ste D
Saint Clairsville, OH 43950-1583

Mailing address

PO Box 6230
Wheeling, WV 26003-0722
Phone (304) 242-7106

Other identifiers 4

IdentifierTypeStateIssuer
0079563000MedicaidWV
0822533MedicaidOH
DG5378OtherOHGROUP RR MEDICARE
110248353OtherRR MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, WV2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20100504000472 OH Practitioner - Internal Medicine 4486696796 Reassigns benefits to 2 organizations
Receives reassigned benefits from 1 practitioner
Practice locations: Martins Ferry, OH; Saint Clairsville, OH
I20210430002136 WV Practitioner - Internal Medicine 4486696796 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1976
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cleveland Prime Care Belmont LLCGroup PAC ID 7113251422, 3 clinicians

Practice addresses (Care Compare)

1 Medical Park
Wheeling, WV 26003-6379
Phone (740) 633-0332

92 N 4TH St
Suite 22
Martins Ferry, OH 43935-1600
Phone (740) 296-5702

Hospital & facility affiliations

  • Stonerise at Home Home health agency, Saint Clairsville, OH, CCN 367442
  • Carter Healthcare Home health agency, Steubenville, OH, CCN 367607
  • Southeastern Home Care, LLC Home health agency, Cambridge, OH, CCN 367433
  • Wvuhs Home Care Home health agency, Saint Clairsville, OH, CCN 368439
  • Valley Hospice Inc Hospice, Rayland, OH, CCN 361522
  • Southern Care Youngstown Hospice, Youngstown, OH, CCN 361617
  • Barnesville Hospital Association, Inc Hospital, Barnesville, OH, CCN 361321
  • Wheeling Hospital, Inc Hospital, Wheeling, WV, CCN 510050
  • Trinity Medical Ctr East &Trinity Medical Ctr West Hospital, Steubenville, OH, CCN 360211
  • Reynolds Memorial Hospital, Inc Hospital, Glen Dale, WV, CCN 510013
  • Harrison Community Hospital Hospital, Cadiz, OH, CCN 361311
  • Belmont Manor Nursing home, St Clairsville, OH, CCN 366190
  • Park Health Center Nursing home, St Clairsville, OH, CCN 365975
  • Rolling Hills Rehab and Care Ctr Nursing home, Bridgeport, OH, CCN 365559
  • Country Club Center I Nursing home, Dover, OH, CCN 365417
  • Cumberland Pointe Care Center Nursing home, St Clairsville, OH, CCN 366177

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as apm

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Removal or shaving of skin growth1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
30439KYMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cleveland Prime Care Belmont LLC Internal Medicine CurrentSince Jun 1, 2019 Accepting new patients
Belmont County Health Department CurrentSince Nov 10, 2024 Accepting new patients
St. Clairsville Pointe, Inc. Past Accepting new patients
Sienna Hills Nursing and Rehabilitation Past Accepting new patients
Shadyside Opco, LLC Past Accepting new patients
DC Healthcare Enterprises, LLC Past Accepting new patients
Lansing Gardens Rehabilitation and Care Center LLC Past Accepting new patients
Belmont Manor Inc. Past Accepting new patients
Renato F Delacruz MD Internal Medicine PastSince Jan 2, 2003 Accepting new patients
East Ohio Hospital LLC Past Accepting new patients
East Ohio Hospital LLC Past Accepting new patients
Country Club Retirement Center IV, Inc Past Accepting new patients
Country Club Center Homes, Inc Past Accepting new patients
Forest Hill Opco LLC Past Accepting new patients

Locations

92 N 4th St
Ste 18
Martins Ferry, OH 43935
Phone (740) 633-4305

222 N 5th St
Ste 205
Martins Ferry, OH 43935
Phone (740) 296-5702

92 N 4th St
Ste 22
Martins Ferry, OH 43935
Phone (740) 296-5702

135 E Main St
Ste D
Saint Clairsville, OH 43950
Phone (740) 296-5702

68501 Bannock Rd
St Clairsvle, OH 43950
Phone (740) 695-1202

1 Medical Park
Wheeling, WV 26003
Phone (304) 243-3124

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/CAJFCA/Endpoint/CAJFCA

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Belmont ManorSaint Clairsville, OH, CCN 366190 Skilled nursing facility Adp of the SNF Jan 1, 2020

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Organizations & group practices 14

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

View all 14

Hospital & facility affiliations 16

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 16

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1122422400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1619395200000",
    "number": "1174523641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6230",
            "city": "WHEELING",
            "state": "WV",
            "postal_code": "260030722",
            "telephone_number": "304-242-7106",
            "fax_number": "304-242-7106"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "135 E MAIN ST STE D",
            "city": "SAINT CLAIRSVILLE",
            "state": "OH",
            "postal_code": "439501583",
            "telephone_number": "740-296-5702",
            "fax_number": "740-296-5705"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DELACRUZ",
        "first_name": "RENATO",
        "middle_name": "F",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-07-27",
        "last_updated": "2021-04-26",
        "certification_date": "2021-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "35060832",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0079563000",
            "state": "WV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0822533",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP RR MEDICARE",
            "identifier": "DG5378",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "110248353",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Clairsville, OH

Sources for this page

Verify at the official NPI Registry.