Active NPI
Kim I De la Cruz, MD
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Cleveland, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- License
- 35.156312
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 9
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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, VA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0101242365 | VA | MD | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Riverside Physician Services, Inc. | Surgery | Current | Accepting new patients |
| Riverside Physician Services Inc | Current | Accepting new patients | |
| Baylor College of Medicine | Surgery | Current | Accepting new patients |
| Baylor College of Medicine | Surgery | Current | Accepting new patients |
| Baylor College of Medicine | Current | Accepting new patients | |
| University of Virginia Physicians Group | Current | Accepting new patients | |
| Baylor College of Medicine | Current | Accepting new patients | |
| Baylor College of Medicine | Current | Accepting new patients | |
| Brigham & Womens Physicians Organization Inc | Current | Accepting new patients | |
| Riverside Physician Services Inc | Current | 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
- kdelacruz247790@direct.rivhs.com
- 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.
-
- Family Medicine Physician
- Houston, TX
- NPI 1053352914
-
- Internal Medicine Physician
- Boston, MA
- NPI 1033535497
-
- Gastroenterology Physician
- Newport News, VA
- NPI 1194929026
-
- Sports Medicine (Neuromusculoskeletal Medicine) Physician
- Charlottesville, VA
- NPI 1033138250
-
- Internal Medicine Physician
- Houston, TX
- NPI 1104867175
-
- Surgery Physician
- Houston, TX
- NPI 1225072291
-
- Orthopaedic Surgery Physician
- Sugar Land, TX
- NPI 1700683844
-
- Gastroenterology Physician
- Williamsburg, VA
- NPI 1083867311
-
- Family Medicine Physician
- Newport News, VA
- NPI 1710020623
Surgery
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.