ANGEL CRISTIAN DE LA CRUZ TEJADA (MD) – Cardiovascular Disease Physician, NPI 1619453412
Cardiovascular Disease Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
3,269 CARDIOVASCULAR DISEASE (CARDIOLOGY) in NY
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Provider Addresses for ANGEL CRISTIAN DE LA CRUZ TEJADA (MD)
180 HARVESTER DR STE 110
BURR RIDGE, IL 605276686
Phone: (773) 702-1150
Type: Mailing
Bronx-Lebanon Hospital Center Concourse Division, 1650, Grand Concourse, The Bronx, Bronx County, New York, 10457, United States
BRONX, NY 10457
Phone: (718) 590-1800
Type: Mailing
19550 GOVERNORS HWY
FLOSSMOOR, IL 604222125
Phone: (708) 915-3100
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 3 Open Payments records for all available years, with a total value of $81.
Total Amount is formed as General ($81) + Research ($0) + Ownership ($0) = $81.
Last reported payment date: 2024-09-27 • Largest payer in this snapshot: Edwards Lifesciences Corporation ($32).
Total Amount
$81
General + Research + Ownership
Payments
3
Total payment records
General Amount
$81
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-09-27
Latest reported date
Top Companies
Largest payers in this snapshot
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: 2025-08-01
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 |
|---|---|---|---|---|
| I20250801001771 | I | Cardiovascular Disease (Cardiology) | 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 60527)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Family Practice | IL | |
| Certified Registered Nurse Anesthetist (Crna) | IL | |
| A N E S T H E S I O L O G Y | IL | |
| P S Y C H I A T R Y | IL | |
| Internal Medicine | IL | |
| Hematology/Oncology, Internal Medicine | IL | |
| - | IL | |
| - | IL | |
| O B S T E T R I C S/ G Y N E C O L O G Y | IL | |
| - | IL |
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