Individual provider Active NPI

Diana Del Cruz De Jesus, M.D.

  • Internal Medicine Physician
  • Noblesville, IN
National Provider Identifier
1336446392
Registry record updated Dec 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
01085445A Issued in IN
Practice address
14645 Hazel Dell Rd Ste 100
Noblesville, IN 46062-7067
Phone
(317) 678-4300
Fax
(317) 678-4310
NPI assigned
Feb 27, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 9, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X 268919 NY
Internal Medicine Physician 207R00000X 01085445A IN Primary

Addresses

Primary practice location

14645 Hazel Dell Rd Ste 100
Noblesville, IN 46062-7067

Mailing address

250 N Shadeland Ave
Indianapolis, IN 46219-4959

Other practice location 1

116 Fifth Ave
Pelham, NY 10803-1504
Phone (914) 738-0005

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address DDEJESUS@direct.iuhealth.org Direct

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210415002986 IN Practitioner - Internal Medicine 3678898814 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Iu Health Medical Group LLCGroup PAC ID 9638617913, 4,382 clinicians

Practice addresses (Care Compare)

1701 N Senate Blvd
Indianapolis, IN 46202-1239
Phone (888) 484-3258

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Iu Health Medical Group, LLC Multi-Specialty CurrentSince Jul 1, 2025 Accepting new patients
Indiana University Health Care Associates, Inc Multi-Specialty CurrentSince Jun 1, 2021 Accepting new patients
University Medical Diagnostic Associates, Inc. Multi-Specialty Past Accepting new patients

Locations

5208 Reliable Pkwy
Chicago, IL 60686

250 N Shadeland Ave
Ste 200
Indianapolis, IN 46219
Phone (317) 962-4836

250 N Shadeland Ave
Indianapolis, IN 46219
Phone (317) 948-9174

1701 N Senate Blvd
Bldg C6
Indianapolis, IN 46202
Phone (913) 962-2000

1701 Senate Blvd
Indianapolis, IN 46202
Phone (317) 612-2754

14645 Hazel Dell Rd
Noblesville, IN 46062
Phone (317) 922-2090

14645 Hazel Dell Rd
Ste 100
Noblesville, IN 46062
Phone (317) 678-4300

14645 Hazel Dell Xing
Ste 100
Noblesville, IN 46062
Phone (317) 678-4300

Interoperability endpoints

  • Direct secure messaging: ddejesus@direct.iuhealth.org

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 and National Provider Directory roles.

Hospital & facility affiliations 5

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

NPI Registry JSON

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

{
    "created_epoch": "1298764800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639008000000",
    "number": "1336446392",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 N SHADELAND AVE",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462194959"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14645 HAZEL DELL RD STE 100",
            "city": "NOBLESVILLE",
            "state": "IN",
            "postal_code": "460627067",
            "telephone_number": "317-678-4300",
            "fax_number": "317-678-4310"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "116 Fifth Ave",
            "address_purpose": "LOCATION",
            "city": "Pelham",
            "state": "NY",
            "postal_code": "108031504",
            "country_code": "US",
            "telephone_number": "914-738-0005",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DE JESUS",
        "first_name": "DIANA",
        "middle_name": "DEL CRUZ",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-02-27",
        "last_updated": "2021-12-09",
        "certification_date": "2021-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "268919",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IN",
            "license": "01085445A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "DDEJESUS@direct.iuhealth.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "14645 Hazel Dell Rd Ste 100",
            "city": "Noblesville",
            "state": "IN",
            "country_code": "US",
            "postal_code": "460627067",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Noblesville, IN

Sources for this page

Verify at the official NPI Registry.