Rafael De La Cruz, MD
NPI 1669460655 · Infectious Disease Physician · Alton, IL
Enrolled with Medicare as Practitioner - Infectious Disease · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Rafael De La Cruz, MD is a Infectious Disease Physician provider in Alton, IL (NPI 1669460655).
Provider details
- NPI number
- 1669460655
- Entity type
- Individual
- Primary specialty
- Infectious Disease PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- 2008007441 (MO)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
20 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)25% of score
1,395 Medicare services, 2024 (ranked within specialty)
- Open Payments transparency10% of score
Has Open Payments disclosures (2024)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our .
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Removal of Tissue From Wound, 20.0 Sq Cm Or Less97597 | 369 | $34 |
| Initial Hospital Care With Straightforward Or Low-Level Medical Decision Making, If Using Time, at Least 55 Minutes99222 | 301 | $128 |
| Subsequent Hospital Care With Moderate Levelof Medical Decision Making, If Using Time, at Least 35 Minutes99232 | 190 | $76 |
| Removal of Tissue From Wound, Each Additional 20.0 Sq Cm97598 | 136 | $24 |
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 123 | $124 |
| Established Patient Office Or Other Outpatient Visit With Straightforward Medical Decision Making, If Using Time, 10 Minutes Or More99212 |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 21 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Doxycycline Hyclate | 140 | 64 |
| Cephalexin | 116 | 33 |
| Ceftriaxone Sodiumbrand: Ceftriaxone | 78 | 19 |
| Daptomycin | 67 | 16 |
| Meropenem | 65 | 15 |
| Ertapenem Sodiumbrand: Ertapenem | 63 | 16 |
| Vancomycin Hcl | 62 | 12 |
| Rifampin | 50 |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$154 across 9 records (Open Payments 2024)
Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.
Practice location
Mailing address
Registry dates
- Enumerated
- 2005-10-12
- Last updated
- 2021-02-26
- Certified
- 2021-02-26
Frequently asked questions
- What is Rafael De La Cruz's NPI number?
- Rafael De La Cruz's National Provider Identifier (NPI) is 1669460655, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Rafael De La Cruz's specialty?
- Rafael De La Cruz is listed in the NPPES registry with a primary specialty of Infectious Disease Physician (Allopathic & Osteopathic Physicians).
- Where is Rafael De La Cruz located?
- Rafael De La Cruz's practice location on file with NPPES is 4 Memorial Dr Ste 230b, Alton, IL 62002-6705.
- What is Rafael De La Cruz's phone number?
- The practice phone number listed in the NPPES registry for Rafael De La Cruz is (636) 344-2014.
- Does Rafael De La Cruz accept Medicare?
- Rafael De La Cruz is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Rafael De La Cruz's NPI active?
- Yes — Rafael De La Cruz's NPI (1669460655) is active in the NPPES registry as of the last update on 2021-02-26.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.