NPIMap

Organization Active NPI

Cleveland Prime Care Belmont LLC

  • Internal Medicine Physician
  • Martins Ferry, OH
National Provider Identifier
1619436854
Registry record updated Feb 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
CLEVELAND PRIME CARE BELMONT LLC
Practice address
222 N 5TH St Ste 205
Martins Ferry, OH 43935-1582
Phone
(740) 296-5702
Fax
(740) 296-5705
NPI assigned
Mar 18, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 2, 2026

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

Authorized official

Name
Renato Delacruz, MDNPI 1174523641
Title
MD
Phone
(304) 242-7106

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

222 N 5TH St Ste 205
Martins Ferry, OH 43935-1582

Mailing address

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

Other practice location 1

142 E Warren St
Cadiz, OH 43907-1172
Phone (740) 672-5785

Other practice location 2

304 W Main St
Saint Clairsville, OH 43950-8801
Phone (740) 296-5702

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, WV2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20190620000475 OH Part B Supplier - Clinic/Group Practice 7113251422 Receives reassigned benefits from 3 practitioners
Practice locations: Martins Ferry, OH; Saint Clairsville, OH; Cadiz, OH
O20200429001567 WV Part B Supplier - Clinic/Group Practice 7113251422 Receives reassigned benefits from 2 practitioners
Practice locations: Wheeling, WV

National Provider Directory

National Provider Directory

Locations

3635 Belmont St
Bellaire, OH 43906
Phone (740) 676-0011

142 E Warren St
Cadiz, OH 43907
Phone (740) 672-5785

304 W Main St
Saint Clairsville, OH 43950
Phone (740) 296-5702

Practitioners & affiliated clinicians

Practitioners 8

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

NPI Registry JSON

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

{
    "created_epoch": "1552867200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1769990400000",
    "number": "1619436854",
    "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": "304-242-7108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "222 N 5TH ST STE 205",
            "city": "MARTINS FERRY",
            "state": "OH",
            "postal_code": "439351582",
            "telephone_number": "740-296-5702",
            "fax_number": "740-296-5705"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "142 E Warren St",
            "address_purpose": "LOCATION",
            "city": "Cadiz",
            "state": "OH",
            "postal_code": "439071172",
            "country_code": "US",
            "telephone_number": "740-672-5785",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "304 W Main St",
            "address_purpose": "LOCATION",
            "city": "Saint Clairsville",
            "state": "OH",
            "postal_code": "439508801",
            "country_code": "US",
            "telephone_number": "740-296-5702",
            "fax_number": "740-296-5705",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CLEVELAND PRIME CARE BELMONT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-18",
        "last_updated": "2026-02-02",
        "certification_date": "2026-02-02",
        "status": "A",
        "authorized_official_last_name": "DELACRUZ",
        "authorized_official_first_name": "RENATO",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "304-242-7106",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Martins Ferry, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.