Individual provider Active NPI

Nestor Enriquez Dela Cruz, M.D.

  • Anatomic Pathology & Clinical Pathology Physician
  • Mobile, AL
National Provider Identifier
1609030238
Registry record updated Jan 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X
License
MD.47916 Issued in AL
Practice address
2451 University Hospital Dr FL 1
Mobile, AL 36617-2300
Phone
(251) 471-7790
Fax
(251) 471-7096
NPI assigned
Jul 14, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 16, 2024

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X MT181505 PA
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X MD.47916 AL Primary
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X MD.205319 LA
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X Q9983 TX

Addresses

Primary practice location

2451 University Hospital Dr FL 1
Mobile, AL 36617-2300

Mailing address

PO Box 746450
Atlanta, GA 30374-6450
Phone (866) 401-3057

Other identifiers 1

IdentifierTypeStateIssuer
2188364MedicaidLA

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address ndelacruz918440@direct.sw.org Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
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
I20240214003740 AL Practitioner - Pathology 7719129634 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pathology
Education
Other, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
USA Health Physician Billing Services LLCGroup PAC ID 9931436912, 342 clinicians

Practice addresses (Care Compare)

1660 Spring Hill Ave
Mobile, AL 36604-1405
Phone (251) 665-8000

1700 Ctr St
Mobile, AL 36604-3301
Phone (251) 415-1000

2451 University Hospital Dr
Mobile, AL 36617-2300
Phone (251) 471-7000

75 S University Blvd
Unit 6000
Mobile, AL 36608-3274
Phone (251) 660-5555

Hospital & facility affiliations

  • USA Health University Hospital Hospital, Mobile, AL, CCN 010087
  • USA Health Children'S & Women'S Hospital Hospital, Mobile, AL, CCN 013301

Merit-based Incentive Payment System (MIPS)

Final score
95.28 of 100Reported as group
Quality
85.81
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD.47916ALMDAnatomic Pathology & Clinical Pathology Physician
MD.205319LAMDAnatomic Pathology & Clinical Pathology Physician
MT181505PAMDAnatomic Pathology & Clinical Pathology Physician
Q9983TXMDAnatomic Pathology & Clinical Pathology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
USA Health Physician Billing Services LLC CurrentSince Feb 1, 2024 Accepting new patients
USA Health Physician Billing Services LLC Anatomic Pathology & Clinical Pathology CurrentSince Feb 1, 2024 Accepting new patients
USA Health Physician Billing Services LLC Anatomic Pathology & Clinical Pathology PastSince Jan 21, 2024 Accepting new patients
University of South Alabama Anatomic Pathology & Clinical Pathology PastSince Jan 21, 2024 Accepting new patients

Locations

75 S University Blvd
Unit 6500
Mobile, AL 36608
Phone (251) 445-8282

75 S University Blvd
Unit 6000
Mobile, AL 36608
Phone (251) 660-5555

2451 University Hospital Dr
Fl 1
Mobile, AL 36617
Phone (251) 471-7790

Interoperability endpoints

  • Direct secure messaging: ndelacruz918440@direct.sw.org

Organizations & group practices 4

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 3

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": "1215993600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705363200000",
    "number": "1609030238",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 746450",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303746450",
            "telephone_number": "866-401-3057",
            "fax_number": "318-868-6430"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2451 UNIVERSITY HOSPITAL DR FL 1",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366172300",
            "telephone_number": "251-471-7790",
            "fax_number": "251-471-7096"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DELA CRUZ",
        "first_name": "NESTOR",
        "middle_name": "ENRIQUEZ",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-07-14",
        "last_updated": "2024-01-16",
        "certification_date": "2024-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "PA",
            "license": "MT181505",
            "primary": false
        },
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "AL",
            "license": "MD.47916",
            "primary": true
        },
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "LA",
            "license": "MD.205319",
            "primary": false
        },
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "TX",
            "license": "Q9983",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2188364",
            "state": "LA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ndelacruz918440@direct.sw.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1901 N MacArthur Blvd",
            "city": "Irving",
            "state": "TX",
            "country_code": "US",
            "postal_code": "750612220",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Mobile, AL

Sources for this page

Verify at the official NPI Registry.