DR. NICHOLAS MARCEL DE LA RUA (MD) – Internal Medicine Physician, NPI 1063074094
Internal Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
848 PULMONARY DISEASE in IL
Provider Addresses for DR. NICHOLAS MARCEL DE LA RUA (MD)
5841 S Maryland Ave Ste Mc6076
Chicago, IL 606371626
Phone: (773) 702-9660
Type: Location
7447 W TALCOTT AVE STE 542
CHICAGO, IL 606313716
Phone: (773) 631-2180
Fax: (773) 631-5947
Type: Mailing
600, South Paulina Street, Near West Side, Illinois Medical District, Chicago, Cook County, Illinois, 60612, United States
CHICAGO, IL 606123806
Phone:
Type: Mailing
150 HARVESTER DR STE 300
BURR RIDGE, IL 605275965
Phone: (773) 702-1150
Type: Mailing
5841 S MARYLAND AVE STE MC6076
CHICAGO, IL 606371626
Phone: (773) 702-9660
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 9 Open Payments records for all available years, with a total value of $594.
Total Amount is formed as General ($594) + Research ($0) + Ownership ($0) = $594.
Last reported payment date: 2024-06-26 • Largest payer in this snapshot: AstraZeneca Pharmaceuticals LP ($389).
Total Amount
$594
General + Research + Ownership
Payments
9
Total payment records
General Amount
$594
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-06-26
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| AstraZeneca Pharmaceuticals LP | $389 |
| Amgen Inc. | $128 |
| GlaxoSmithKline, LLC. | $49 |
| Actelion Pharmaceuticals US, Inc. | $27 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2025-04-21
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20250421001505 | I | Pulmonary Disease | IL | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 60637)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Critical Care (Intensivists), Pulmonary Disease | IL | |
| Nurse Practitioner | IL | |
| Pulmonary Disease, Critical Care (Intensivists) | IL | |
| Pulmonary Disease, Critical Care (Intensivists) | IL | |
| Pulmonary Disease, Critical Care (Intensivists) | IL | |
| Pulmonary Disease, Critical Care (Intensivists) | IL | |
| Pulmonary Disease, Critical Care (Intensivists) | IL |
Reviews
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