Individual provider Active NPI

Kim I De la Cruz, MD

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Cleveland, OH
National Provider Identifier
1902059447
Registry record updated Jul 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianTaxonomy code 208G00000X
License
35.156312 Issued in OH
Practice address
9500 Euclid Ave
Cleveland, OH 44195-0001
Phone
(216) 894-7484
NPI assigned
Oct 28, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 15, 2026

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

Specialties & licenses 9

Specialty (taxonomy)CodeLicenseStatePrimary
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician 208G00000X 35.156312 OH Primary
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician 208G00000X N0722 TX
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician 208G00000X 292123 MA
Transplant Surgery Physician 204F00000X 35.156312 OH
Surgery Physician 208600000X N0722 TX
Surgery Physician 208600000X 35.156312 OH
Surgery Physician 208600000X 292123 MA
Surgery Physician 208600000X 0101242365 VA
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician 208G00000X 0101242365 VA

Addresses

Primary practice location

9500 Euclid Ave
Cleveland, OH 44195-0001

Mailing address

25900 Science Park Dr
Cleveland, OH 44122-7318
Phone (216) 442-1170

Other practice location 1

1215 Lee St Ste 4077
Charlottesville, VA 22908-3771
Phone (434) 924-9300

Other practice location 2

15 Francis St Ste Ca207K
Boston, MA 02115-6105
Phone (617) 732-7678

Other practice location 3

1 Baylor Plz # Bcm390
Houston, TX 77030-3411
Phone (832) 355-9916

Other practice location 4

4499 Medical Dr Ste 166
San Antonio, TX 78229-3771
Phone (210) 575-8485

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, MA, VA3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20110908001760 TX Practitioner - Thoracic SurgeryPractitioner - Cardiac SurgeryPractitioner - General Surgery 6709056302 Reassigns benefits to 2 organizations
I20221013000924 MA Practitioner - Cardiac Surgery 6709056302 Reassigns benefits to 1 organization
I20241002004279 VA Practitioner - Cardiac SurgeryPractitioner - Thoracic Surgery 6709056302 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0101242365VAMDThoracic Surgery (Cardiothoracic Vascular Surgery) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Riverside Physician Services, Inc. Surgery CurrentSince Sep 1, 2024 Accepting new patients
Riverside Physician Services Inc Current Accepting new patients
Baylor College of Medicine Surgery CurrentSince Jan 1, 2014 Accepting new patients
Baylor College of Medicine Surgery CurrentSince Aug 1, 2011 Accepting new patients
Baylor College of Medicine Current Accepting new patients
University of Virginia Physicians Group CurrentSince Aug 1, 2024 Accepting new patients
Baylor College of Medicine CurrentSince Aug 1, 2011 Accepting new patients
Baylor College of Medicine CurrentSince Jan 1, 2014 Accepting new patients
Brigham & Womens Physicians Organization Inc CurrentSince Sep 1, 2022 Accepting new patients
Riverside Physician Services Inc CurrentSince Sep 1, 2024 Accepting new patients

Locations

15 Francis St
Ste CA207K
Boston, MA 02115
Phone (617) 732-7678

75 Francis St
Boston, MA 02115

1504 Taub Loop
Houston, TX 77030
Phone (713) 873-2860

6620 Main St
Houston, TX 77030
Phone (713) 520-8432

7200 Cambridge St
Fl 1
Houston, TX 77030
Phone (713) 798-3924

1215 Lee St
Charlottesvle, VA 22908
Phone (434) 924-0211

1215 Lee St
Fl 8
Charlottesvle, VA 22908
Phone (434) 924-2500

856 J Clyde Morris Blvd
Ste A
Newport News, VA 23601
Phone (757) 316-5900

500 J Clyde Morris Blvd
Ste 602
Newport News, VA 23601
Phone (757) 534-5511

858 J Clyde Morris Blvd
Newport News, VA 23601
Phone (757) 594-4343

Interoperability endpoints

  • Direct secure messaging: kdelacruz247790@direct.rivhs.com
  • Direct secure messaging: kim.delacruz@hca7.eclinicaldirectplus.com

Organizations & group practices 10

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.

NPI Registry JSON

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

{
    "created_epoch": "1225152000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784073600000",
    "number": "1902059447",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25900 SCIENCE PARK DR",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441227318",
            "telephone_number": "216-442-1170",
            "fax_number": "216-636-5956"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9500 EUCLID AVE",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441950001",
            "telephone_number": "216-894-7484"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1215 Lee St Ste 4077",
            "address_purpose": "LOCATION",
            "city": "Charlottesville",
            "state": "VA",
            "postal_code": "229083771",
            "country_code": "US",
            "telephone_number": "434-924-9300",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "15 Francis St Ste Ca207K",
            "address_purpose": "LOCATION",
            "city": "Boston",
            "state": "MA",
            "postal_code": "021156105",
            "country_code": "US",
            "telephone_number": "617-732-7678",
            "fax_number": "617-732-6559",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1 Baylor Plz # Bcm390",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770303411",
            "country_code": "US",
            "telephone_number": "832-355-9916",
            "fax_number": "832-355-9948",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4499 Medical Dr Ste 166",
            "address_purpose": "LOCATION",
            "city": "San Antonio",
            "state": "TX",
            "postal_code": "782293771",
            "country_code": "US",
            "telephone_number": "210-575-8485",
            "fax_number": "210-575-8537",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DE LA CRUZ",
        "first_name": "KIM",
        "middle_name": "I",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-10-28",
        "last_updated": "2026-07-15",
        "certification_date": "2026-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208G00000X",
            "taxonomy_group": "",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "OH",
            "license": "35.156312",
            "primary": true
        },
        {
            "code": "208G00000X",
            "taxonomy_group": "",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "TX",
            "license": "N0722",
            "primary": false
        },
        {
            "code": "208G00000X",
            "taxonomy_group": "",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "MA",
            "license": "292123",
            "primary": false
        },
        {
            "code": "204F00000X",
            "taxonomy_group": "",
            "desc": "Transplant Surgery",
            "state": "OH",
            "license": "35.156312",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "TX",
            "license": "N0722",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "OH",
            "license": "35.156312",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "MA",
            "license": "292123",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "VA",
            "license": "0101242365",
            "primary": false
        },
        {
            "code": "208G00000X",
            "taxonomy_group": "",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "VA",
            "license": "0101242365",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cleveland, OH

Sources for this page

Verify at the official NPI Registry.