Active NPI
Rogelio Dela Cruz, MD
- Pediatric Emergency Medicine (Emergency Medicine) Physician
- Columbus, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Emergency Medicine (Emergency Medicine) Physician
- License
- 054482
- Practice address
- 710 Center St
Columbus, GA 31901-1527 - Phone
- (706) 571-1311
- NPI assigned
- Feb 28, 2006
- Last updated
- Aug 12, 2022
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Emergency Medicine (Emergency Medicine) Physician | 207PP0204X | 054482 | GA | Primary |
| Pediatrics Physician | 208000000X | 054482 | GA | |
| Pediatric Critical Care Medicine Physician | 2080P0203X | 054482 | GA |
Addresses
Primary practice location
710 Center St
Columbus, GA 31901-1527
Mailing address
2490 Riverside Dr
Ste B
Macon, GA 31204-1787
Phone (478) 633-7140
Other practice location 1
3675 J Dewey Gray Cir Ste 300
Augusta, GA 30909-1868
Phone (706) 863-9595
Other practice location 2
3651 Wheeler Rd
Augusta, GA 30909-6521
Phone (706) 863-9595
Other practice location 3
777 Hemlock St
msc 83
Macon, GA 31201-2102
Phone (478) 633-7140
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 754171554B | Medicaid | GA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA, VA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 054482 | GA | MD | Pediatric Critical Care Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Joseph M Still Burn Centers, Inc | Current | Accepting new patients | |
| Emergency Group of Columbus, LLC | Current | Accepting new patients | |
| Emergency Coverage, LLC | Current | Accepting new patients | |
| Central Georgia Emergency Group, LLC | Current | Accepting new patients | |
| Acs Primary Care Physicians - Southeast PC | Current | Accepting new patients | |
| Central Georiga Fertility Institute | Past | Accepting new patients | |
| Physicians Group Services PA | Pediatrics | Past | Accepting new patients |
| Doctors Hospital of Augusta LLC | Past | Accepting new patients |
Locations
1643 NW 136th Ave
Ste 100
Sunrise, FL 33323
Phone (865) 500-1325
3651 Wheeler Rd
Augusta, GA 30909
Phone (706) 651-3232
3675 J Dewey Gray Cir
Ste 300
Augusta, GA 30909
Phone (706) 869-0501
3950 Austell Rd
Austell, GA 30106
Phone (770) 732-3752
710 Center St
Columbus, GA 31901
Phone (706) 571-1000
777 Hemlock St
Macon, GA 31201
Phone (478) 474-5600
777 Hemlock St
#83
Macon, GA 31201
Phone (478) 633-7140
2151 W Spring St
Monroe, GA 30655
Phone (770) 267-1792
7101 Jahnke Rd
Richmond, VA 23225
Phone (804) 323-1088
Interoperability endpoints
- https://api.platform.athenahealth.com/14272/brand/70/csg/1/fhir/r4
- rogelio.delacruz@pppc.eclinicaldirectplus.com
Organizations & group practices 8
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.
-
- Emergency Medicine Physician
- Macon, GA
- NPI 1598126641
-
- Emergency Medicine Physician
- Columbus, GA
- NPI 1316458227
-
- Specialist
- Augusta, GA
- NPI 1215904909
-
- Emergency Medicine Physician
- Myrtle Beach, SC
- NPI 1861430555
GA
-
dba Emergency Coverage Corporation of TeamHealth
- Family Medicine Physician
- Newport, TN
- NPI 1427005008
VA
-
- Reproductive Endocrinology Physician
- Macon, GA
- NPI 1447390901
-
dba Doctors Hospital (Augusta)
- General Acute Care Hospital
- Augusta, GA
- NPI 1912951963
-
dba Coastal Health
- Family Medicine Physician
- Orange Park, FL
- NPI 1861440810
Pediatrics
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1141084800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1660262400000",
"number": "1386610210",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2490 RIVERSIDE DR",
"address_2": "STE B",
"city": "MACON",
"state": "GA",
"postal_code": "312041787",
"telephone_number": "478-633-7140"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "710 CENTER ST",
"city": "COLUMBUS",
"state": "GA",
"postal_code": "319011527",
"telephone_number": "706-571-1311"
}
],
"practiceLocations": [
{
"address_1": "3675 J Dewey Gray Cir Ste 300",
"address_purpose": "LOCATION",
"city": "Augusta",
"state": "GA",
"postal_code": "309091868",
"country_code": "US",
"telephone_number": "706-863-9595",
"fax_number": "706-447-7137",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3651 Wheeler Rd",
"address_purpose": "LOCATION",
"city": "Augusta",
"state": "GA",
"postal_code": "309096521",
"country_code": "US",
"telephone_number": "706-863-9595",
"fax_number": "706-447-7137",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "777 Hemlock St",
"address_2": "msc 83",
"address_purpose": "LOCATION",
"city": "Macon",
"state": "GA",
"postal_code": "312012102",
"country_code": "US",
"telephone_number": "478-633-7140",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DELA CRUZ",
"first_name": "ROGELIO",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-28",
"last_updated": "2022-08-12",
"certification_date": "2022-08-12",
"status": "A"
},
"taxonomies": [
{
"code": "207PP0204X",
"taxonomy_group": "",
"desc": "Emergency Medicine, Pediatric Emergency Medicine",
"state": "GA",
"license": "054482",
"primary": true
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "GA",
"license": "054482",
"primary": false
},
{
"code": "2080P0203X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Critical Care Medicine",
"state": "GA",
"license": "054482",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "754171554B",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Columbus, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.