KIM I DE LA CRUZ (MD) – Surgery Physician, NPI 1902059447
Surgery Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for KIM I DE LA CRUZ (MD)
4499 Medical Dr Ste 166
San Antonio, TX 782293771
Phone: (210) 575-8485
Fax: (210) 575-8537
Type: Location
1 Baylor Plz # Bcm390
Houston, TX 770303411
Phone: (832) 355-9916
Fax: (832) 355-9948
Type: Location
4499 MEDICAL DR STE 166
SAN ANTONIO, TX 782293771
Phone: (210) 575-8485
Fax: (210) 575-8537
Type: Location
5203, Willow Street, Bellaire, Harris County, Texas, 77401, United States
BELLAIRE, TX 774013932
Phone: (832) 247-5403
Type: Mailing
15 Francis St Ste Ca207K
Boston, MA 021156105
Phone: (617) 732-7678
Fax: (617) 732-6559
Type: Location
1215 LEE ST STE 4077
CHARLOTTESVILLE, VA 229083771
Phone: (434) 924-9300
Type: Location
PO BOX 749112
ATLANTA, GA 303749112
Phone: (434) 295-1000
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 27 Open Payments records for all available years, with a total value of $10,861.
Total Amount is formed as General ($10,861) + Research ($0) + Ownership ($0) = $10,861.
Last reported payment date: 2024-10-28 • Largest payer in this snapshot: Bolton Medical Inc ($6,667).
Total Amount
$10,861
General + Research + Ownership
Payments
27
Total payment records
General Amount
$10,861
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-10-28
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Bolton Medical Inc | $6,667 |
| Artivion, Inc. | $1,516 |
| Medtronic, Inc. | $1,479 |
| Edwards Lifesciences Corporation | $361 |
| Cook Medical LLC | $302 |
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: 2024-10-02
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 3 Medicare enrollment records; no due dates published yet.
Enrollment records
3
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 |
|---|---|---|---|---|
| I20110908001760 | I | Thoracic Surgery | TX | TBD |
| I20221013000924 | I | Cardiac Surgery | MA | TBD |
| I20241002004279 | I | Cardiac Surgery | VA | 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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 33361 | Replacement of aortic valve through the skin and femoral artery | 62 | 62 | $0 |
| 99205 | New patient office or other outpatient visit, 60-74 minutes | 47 | 47 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 41 | 41 | $0 |
| 99223 | Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | 23 | 22 | $0 |
| 99215 | Established patient office or other outpatient visit, 40-54 minutes | 22 | 22 | $0 |
Insurance plans in this area (ZIP 78229)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| THORACIC SURGERY | TX | 33405 | Replacement of left lower heart chamber valve using artificial valve on heart-lung machine | 17 | 17 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| P O D I A T R Y | TX | |
| Certified Clinical Nurse Specialist (Cns) | TX | |
| - | TX | |
| General Surgery | TX | |
| Pediatric Medicine, Cardiovascular Disease (Cardiology) | TX | |
| Medical Oncology, Hematology, Internal Medicine | TX | |
| Internal Medicine | TX | |
| Nurse Practitioner | TX | |
| Urology, General Surgery, Urology | TX | |
| General Surgery | TX |
Reviews
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