Active NPI
Angel Cristian De la Cruz Tejada, MD
- Cardiovascular Disease Physician
- North Venice, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- ME180359
- Practice address
- 200 Healthcare Way Unit 103
North Venice, FL 34275-3670 - Phone
- (941) 261-0160
- Fax
- (941) 261-0165
- NPI assigned
- Jul 14, 2018
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | ME180359 | FL | Primary |
Addresses
Primary practice location
200 Healthcare Way Unit 103
North Venice, FL 34275-3670
Mailing address
PO Box 947407
Atlanta, GA 30394-7407
Phone (941) 917-2600
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Cardiovascular Disease (Cardiology)
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
19550 Governors Hwy
Suite 2000
Flossmoor, IL 60422-2142
Phone (708) 957-8750
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036.168196 | IL | MD | Cardiovascular Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ucm Medical Group Sub, LLC | Cardiovascular Disease | Current | Accepting new patients |
| SMH Physician Services Inc | Past | Accepting new patients | |
| SMH Physician Services Inc | Past | Accepting new patients |
Locations
150 Harvester Dr
Ste 300
Burr Ridge, IL 60527
Phone (773) 702-1061
27702 Network Pl
Chicago, IL 60673
19550 Governors Hwy
Ste 3800
Flossmoor, IL 60422
19550 Governors Hwy
Ste 2000
Flossmoor, IL 60422
Phone (708) 272-6606
19550 Governors Hwy
Flossmoor, IL 60422
Phone (708) 799-8400
1 Ingalls Dr
Harvey, IL 60426
Phone (708) 333-2300
Interoperability endpoints
- adelacruztejadamd310901@uchospital.direct-ci.com
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.
-
- Family Medicine Physician
- Harvey, IL
- NPI 1467442293
Cardiovascular Disease
-
dba First Physicians Group
- Gynecology Physician
- Sarasota, FL
- NPI 1275525826
-
dba First Physicians Group
- Internal Medicine Physician
- Sarasota, FL
- NPI 1346295292
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Harvey, IL
- NPI 1598756686
-
- General Acute Care Hospital
- Chicago, IL
- NPI 1508956509
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1531526400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1785715200000",
"number": "1619453412",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 947407",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303947407",
"telephone_number": "941-917-2600",
"fax_number": "941-917-7884"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 HEALTHCARE WAY UNIT 103",
"city": "NORTH VENICE",
"state": "FL",
"postal_code": "342753670",
"telephone_number": "941-261-0160",
"fax_number": "941-261-0165"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DE LA CRUZ TEJADA",
"first_name": "ANGEL",
"middle_name": "CRISTIAN",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2018-07-14",
"last_updated": "2026-08-03",
"certification_date": "2026-08-03",
"status": "A"
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "FL",
"license": "ME180359",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in North Venice, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2026; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.