Emmanuel Avelino Delacruz Jr., M.D.

Primary specialty

Plastic Surgery PhysicianTaxonomy code 208200000X

License

N0721 Issued in TX

Practice address

2219 Sawdust Rd
Unit 1203
The Woodlands, TX 77380-2575

Phone

(832) 776-1134

Fax

(832) 616-3429

NPI assigned

Jul 24, 2007

Last updated

May 10, 2016By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 5

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: edelacruz@direct.uspi.com
• FHIR API: https://api.platform.athenahealth.com/4089/brand/1/csg/1/fhir/r4

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.

• Cypress Surgicare of Texas LLC

  dba Cypress Surgicare

  • Plastic Surgery Physician
  • Houston, TX
  • NPI 1366118192
  NPD (past) Authorized official
• Northwest Hand Specialists, Inc PS

  dba Hand and Wrist Surgery Center of Washington

  • Medical Specialty Clinic/Center
  • Shoreline, WA
  • NPI 1851316863
  NPD (past)
• Northwest Hand Specialists, Inc., P.S.

  • Orthopaedic Hand Surgery Physician
  • Shoreline, WA
  • NPI 1467493890
  NPD (past)

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

{
    "created_epoch": "1185235200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1462838400000",
    "number": "1922208164",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2219 SAWDUST RD",
            "address_2": "UNIT 1203",
            "city": "THE WOODLANDS",
            "state": "TX",
            "postal_code": "773802575",
            "telephone_number": "832-776-1134",
            "fax_number": "832-616-3429"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2219 SAWDUST RD",
            "address_2": "UNIT 1203",
            "city": "THE WOODLANDS",
            "state": "TX",
            "postal_code": "773802575",
            "telephone_number": "832-776-1134",
            "fax_number": "832-616-3429"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DELACRUZ",
        "first_name": "EMMANUEL",
        "middle_name": "AVELINO",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-07-24",
        "last_updated": "2016-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "OR",
            "license": "MD27611",
            "primary": false
        },
        {
            "code": "2086S0105X",
            "taxonomy_group": "",
            "desc": "Surgery, Surgery of the Hand",
            "state": "OR",
            "license": "MD27611",
            "primary": false
        },
        {
            "code": "2086S0105X",
            "taxonomy_group": "",
            "desc": "Surgery, Surgery of the Hand",
            "state": "WA",
            "license": "MD60016651",
            "primary": false
        },
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "TX",
            "license": "N0721",
            "primary": true
        },
        {
            "code": "2086S0105X",
            "taxonomy_group": "",
            "desc": "Surgery, Surgery of the Hand",
            "state": "TX",
            "license": "N0721",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "312313YUR9",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "340811401",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Andrew Decrescenzo, MD
• Albert Lee Dedmon Jr., APRN
• Katherine Defazio, PT
• Deanne Lolita Degreaffenreidte, M.D.
• Michael Bruce Deitch, PHD LPC
• Brent Delasalas, DPT
• Marianys Delgado Alazo, PMHNP
• Vanessa Giselle Delgado
• Michele C Delhaye, OTR/L
• Bettina Delong, L.P.C.

• Plastic Surgery Physician in The Woodlands, TX
• Providers in The Woodlands, TX by specialty
• Plastic Surgery Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.