Andrea Faye Delacruz, D.O.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

OS16937 Issued in FL

Practice address

4951 Grande Dr
Pensacola, FL 32504-8965

Phone

(850) 473-0100

Fax

(850) 473-0500

NPI assigned

Jun 28, 2010

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in VA

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 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: adelacruz@pensacolapeds.opdirect.net

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.

• Pensacola Pediatrics PA

  • Pediatrics Physician
  • Pensacola, FL
  • NPI 1144302324

  Pediatrics

  NPD (past)
• Pensacola Pediatrics PA

  • Pediatrics Physician
  • Pace, FL
  • NPI 1225701550

  Pediatrics

  NPD (past)
• Pensacola Pediatrics PA

  • Pediatrics Physician
  • Navarre, FL
  • NPI 1467178343

  Pediatrics

  NPD (past)
• Pensacola Pediatrics, PA

  • Pediatrics Physician
  • Pensacola, FL
  • NPI 1255004586

  Pediatrics

  NPD (past)
• Frederick Health Hospital Inc

  • General Acute Care Hospital
  • Frederick, MD
  • NPI 1538165527
  NPD (past)

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

{
    "created_epoch": "1277683200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1601856000000",
    "number": "1982915682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4951 GRANDE DR",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325048965",
            "telephone_number": "850-473-0100",
            "fax_number": "850-473-0500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4951 GRANDE DR",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325048965",
            "telephone_number": "850-473-0100",
            "fax_number": "850-473-0500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DELACRUZ",
        "first_name": "ANDREA",
        "middle_name": "FAYE",
        "name_prefix": "Mrs.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-06-28",
        "last_updated": "2020-10-05",
        "certification_date": "2020-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "VA",
            "license": "0102202885",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "FL",
            "license": "OS16937",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "107123300",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mallory Louise Dehaes
• Mohammadmoein Dehesh, MD
• Brandon Deininger
• John Theodore Dejong, MD
• Aryn Del Valle, PA-C
• Lindsey Bell Delamare
• Dawn M Delancy, RN
• Andrea Stadther Delaney, PHARM.D.
• Rex Delaune, MD
• Peter Christian Delevett, M.D.

• All providers in Pensacola, FL
• Pediatrics Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2020; 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.

Verify at the official NPI Registry.