NPIMap

Individual provider Active NPI

Eliesel Gerardo Lacerda de la Cruz, MD

  • Infectious Disease Physician
  • New Bedford, MA
National Provider Identifier
1831363779
Registry record updated Oct 1, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
License
237691 Issued in MA
Practice address
101 Page St
New Bedford, MA 02740-3464
Phone
(508) 973-5919
Fax
(508) 973-5916
NPI assigned
Apr 22, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Infectious Disease Physician 207RI0200X 237691 MA Primary

Addresses

Primary practice location

101 Page St
New Bedford, MA 02740-3464

Mailing address

200 Mill Rd Ste 180
Fairhaven, MA 02719-5255
Phone (508) 973-2000

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address elacerda34538@direct.southcoast.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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
I20081114000396 MA Practitioner - Infectious DiseasePractitioner - Hospitalist 3375603764 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Infectious Disease
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Jose R. Gutierrez MD PCGroup PAC ID 9830507763, 13 clinicians

Practice addresses (Care Compare)

1 Great Rd
Acton, MA 01720-5601
Phone (978) 267-3900

Hospital & facility affiliations

  • Ascend Hospice Hospice, Worcester, MA, CCN 221566
  • New England Hospice II, LLC Hospice, Hingham, MA, CCN 221563
  • Harborside Hospice of Massachusetts, LLC Hospice, Haverhill, MA, CCN 221606
  • Milford Regional Medical Center Hospital, Milford, MA, CCN 220090
  • Care One at Millbury Nursing home, Millbury, MA, CCN 225720
  • Life Care Center of Auburn Nursing home, Auburn, MA, CCN 225661
  • Casa de Ramana Rehabilitation Center Nursing home, Framingham, MA, CCN 225179

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Southcoast Physicians Group, Inc. Internal Medicine CurrentSince Oct 1, 2016 Accepting new patients
Jose R. Gutierrez MD PC CurrentSince Mar 1, 2022 Accepting new patients
Southcoast Physicians Group, Inc. CurrentSince Oct 1, 2016 Accepting new patients
Auburn Medical Investors, LLC Past Accepting new patients
Overlook Masonic Health Center Inc Past Accepting new patients
Premier Healthcare Services, LLC Past Accepting new patients
312 Millbury Avenue Operating Company, LLC Past Accepting new patients
57 Old Road to Nine Acre Corner Operating Company, LLC Past Accepting new patients
Bentley Casa de Ramana LLC Past Accepting new patients

Locations

1 Great Rd
Acton, MA 01720
Phone (978) 263-9101

799 Concord Ave
Cambridge, MA 02138
Phone (617) 547-7163

640 Concord Ave
Cambridge, MA 02138
Phone (617) 497-0600

57 Old Road To 9 Acre Cor
Concord, MA 01742
Phone (508) 245-9338

200 Mill Rd
Ste 180
Fairhaven, MA 02719
Phone (508) 973-2000

534 Prospect St
Fall River, MA 02720
Phone (508) 679-7766

874 Purchase St
New Bedford, MA 02740
Phone (508) 992-6553

101 Page St
New Bedford, MA 02740
Phone (508) 961-5425

88 Washington St
Taunton, MA 02780
Phone (508) 828-7000

Interoperability endpoints

  • Direct secure messaging: eliesellacerdadela.cruz@gnbchc.eclinicaldirectplus.com

Ownership & related parties

All facility ownership & control disclosures 1

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

FacilityTypeRoleSince
Life Care Center of AuburnAuburn, MA, CCN 225661 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 Nov 19, 2022
Mar 7, 2025

Owned or controlled facilities with NPI records 1

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

Organizations & group practices 9

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 7

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": "1208822400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1601510400000",
    "number": "1831363779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 MILL RD STE 180",
            "city": "FAIRHAVEN",
            "state": "MA",
            "postal_code": "027195255",
            "telephone_number": "508-973-2000",
            "fax_number": "508-973-2001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 PAGE ST",
            "city": "NEW BEDFORD",
            "state": "MA",
            "postal_code": "027403464",
            "telephone_number": "508-973-5919",
            "fax_number": "508-973-5916"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LACERDA DE LA CRUZ",
        "first_name": "ELIESEL",
        "middle_name": "GERARDO",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-04-22",
        "last_updated": "2020-10-01",
        "certification_date": "2020-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "MA",
            "license": "237691",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "elacerda34538@direct.southcoast.org",
            "affiliation": "N",
            "endpointDescription": "Southcoast Health Epic Direct Address",
            "address_1": "101 Page St",
            "city": "New Bedford",
            "state": "MA",
            "country_code": "US",
            "postal_code": "027403464",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in New Bedford, MA

Sources for this page

Verify at the official NPI Registry.