NPIMap

Individual provider Active NPI

Kristopher Gabas Dela Cruz, M.D.

  • Internal Medicine Physician
  • Nederland, TX
National Provider Identifier
1821403809
Registry record updated Jan 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
R1944 Issued in TX
Practice address
2400 Highway 365 Ste 108
Nederland, TX 77627-6268
Phone
(409) 727-2808
NPI assigned
Jun 27, 2014
Last updated
Jan 8, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X R1944 TX Primary

Addresses

Primary practice location

2400 Highway 365 Ste 108
Nederland, TX 77627-6268

Mailing address

3712 Gulfway Dr
Port Arthur, TX 77642-2828
Phone (409) 332-4300

Other practice location 1

810 Hospital Dr Ste 320
Beaumont, TX 77701-4655
Phone (409) 833-2266

Other practice location 2

8333 9th Ave Ste A
Port Arthur, TX 77642-8151
Phone (409) 727-2808

Other practice location 3

3712 Gulfway Dr
Port Arthur, TX 77642-2828
Phone (409) 332-4300

Other practice location 4

190 Strickland Dr
Orange, TX 77630-4748
Phone (409) 920-4037

Other identifiers 2

IdentifierTypeStateIssuer
R1944OtherTXTEXAS MEDICAL LICENSE
379143601MedicaidTX

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170627000171 TX Practitioner - Internal Medicine 9335418847 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Standard Medical Clinic, PAGroup PAC ID 8123071214, 4 clinicians

Practice addresses (Care Compare)

8333 9TH Ave
Suite a
Port Arthur, TX 77642-8151
Phone (409) 272-2808

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R1944TXMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Standard Medical Clinic, PA Internal Medicine CurrentSince Jul 1, 2017 Accepting new patients
KR Wellness Solutions PA Internal Medicine CurrentSince Jul 1, 2025 Accepting new patients
Tyler County Hospital District Past Accepting new patients
Winnie-Stowell Hospital District Past Accepting new patients
City of Ennis Past Accepting new patients
Post Acute Enterprises, L.L.C. Past Accepting new patients
Winnie-Stowell Hospital District Past Accepting new patients
Tyler County Hospital District Past Accepting new patients
Tyler County Hospital District Past Accepting new patients
Corium Ventures PLLC Past Accepting new patients
The Medical Center of Southeast Texas LP Past Accepting new patients
Liberty County Hospital District No.1 Past Accepting new patients

Locations

810 Hospital Dr
Ste 320
Beaumont, TX 77701
Phone (409) 833-2266

2400 Highway 365
Ste 108
Nederland, TX 77627
Phone (409) 724-3053

1011 10th St
#101
Orange, TX 77630
Phone (409) 727-2808

190 Strickland Dr
Orange, TX 77630
Phone (409) 920-4037

3712 Gulfway Dr
Port Arthur, TX 77642
Phone (409) 332-4300

8333 9th Ave
Ste A
Port Arthur, TX 77642
Phone (409) 272-2808

2801 MacArthur Dr
Ste E
West Orange, TX 77630
Phone (281) 770-9083

Ownership & related parties

All facility ownership & control disclosures 2

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Magnolia ManorGroves, TX, CCN 455538 Skilled nursing facility Adp of the SNF Dec 1, 2022
LarkspurLufkin, TX, CCN 675519 Skilled nursing facility Adp of the SNF Feb 1, 2024

Owned or controlled facilities with NPI records 2

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 12

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.

Hospital & facility affiliations 18

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

View all 18

NPI Registry JSON

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

{
    "created_epoch": "1403827200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767830400000",
    "number": "1821403809",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3712 GULFWAY DR",
            "city": "PORT ARTHUR",
            "state": "TX",
            "postal_code": "776422828",
            "telephone_number": "409-332-4300",
            "fax_number": "409-727-5933"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2400 HIGHWAY 365 STE 108",
            "city": "NEDERLAND",
            "state": "TX",
            "postal_code": "776276268",
            "telephone_number": "409-727-2808"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "810 Hospital Dr Ste 320",
            "address_purpose": "LOCATION",
            "city": "Beaumont",
            "state": "TX",
            "postal_code": "777014655",
            "country_code": "US",
            "telephone_number": "409-833-2266",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8333 9th Ave Ste A",
            "address_purpose": "LOCATION",
            "city": "Port Arthur",
            "state": "TX",
            "postal_code": "776428151",
            "country_code": "US",
            "telephone_number": "409-727-2808",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3712 Gulfway Dr",
            "address_purpose": "LOCATION",
            "city": "Port Arthur",
            "state": "TX",
            "postal_code": "776422828",
            "country_code": "US",
            "telephone_number": "409-332-4300",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "190 Strickland Dr",
            "address_purpose": "LOCATION",
            "city": "Orange",
            "state": "TX",
            "postal_code": "776304748",
            "country_code": "US",
            "telephone_number": "409-920-4037",
            "fax_number": "409-727-5933",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DELA CRUZ",
        "first_name": "KRISTOPHER",
        "middle_name": "GABAS",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-06-27",
        "last_updated": "2026-01-08",
        "certification_date": "2026-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "R1944",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TEXAS MEDICAL LICENSE",
            "identifier": "R1944",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "379143601",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Nederland, TX

Sources for this page

Verify at the official NPI Registry.