Individual provider

Patricia Balcacer De La Cruz, M.D.

Diagnostic Radiology Physician Medicare enrolled

Patricia Balcacer De La Cruz, M.D. is a Diagnostic Radiology Physician in Miami, FL, registered under NPI 1407160419.

Getting there

The practice address on file is 1475 NW 12TH AVE, Miami, FL 33136. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.

1475 NW 12TH AVE, Miami, FL 33136 Open in Google Maps →

Credentials and Medicare

State licence
LicenceStateSpecialty
ME124475 FL Diagnostic Radiology Physician primary
5315037122 MI Diagnostic Radiology Physician
4301092773 MI Diagnostic Radiology Physician

Licences are recorded in 2 states: FL, MI. Providers licensed in several states often practise near a state border or deliver telehealth across state lines.

Medicare (PECOS)
Status
Approved
Provider type
Practitioner - Diagnostic Radiology
PAC ID
5698919710
Enrollment ID
I20190129002681

Medicare enrolment is recorded as approved under the provider type Practitioner - Diagnostic Radiology. Being enrolled means the provider can bill Medicare; it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.

Licensed in 2 states

This provider holds licences in 2 states: Florida and Michigan. The practice address on file is in Miami, FL, but a licence in another state usually means they see patients there too — either at a second location or by telehealth. If the address above is far from you, it is worth calling to ask whether they practise closer to where you live.

FL Florida practice address
Licence
ME124475
Specialty
Diagnostic Radiology Physician
Verify with the FL board →
MI Michigan
Licence
5315037122
Specialty
Diagnostic Radiology Physician
Verify with the MI board →

Licence numbers are self-reported to NPPES at registration. They do not confirm a licence is currently active, in good standing, or valid for the specialty shown — only the state board can tell you that, which is why we link to each one.

What Diagnostic Radiology covers

A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. NUCC Health Care Provider Taxonomy, code 2085R0202X
Allopathic & Osteopathic Physicians Radiology Diagnostic Radiology

All registered taxonomy codes

This provider registers 3 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.

CodeSpecialtyLicenceState
2085R0202X Diagnostic Radiology Physician Diagnostic Radiology ME124475 FL primary
2085R0202X Diagnostic Radiology Physician Diagnostic Radiology 5315037122 MI
2085R0202X Diagnostic Radiology Physician Diagnostic Radiology 4301092773 MI

The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.

Full NPPES record

An NPI-1 identifies a single person. It stays with the clinician for life, even if they move practice or change state, which is why the address on file can lag behind where they actually work today.

NPI1407160419 valid check digit
Entity typeIndividual (NPI-1)
Enumeration dateAug 2, 2010
Last updatedNov 15, 2018
StatusActive
Sole proprietorNo
CredentialM.D.
Practice address 1475 NW 12TH AVE
Miami, FL 33136
(305) 243-5512
Fax (305) 243-4613
The last update on file is Nov 15, 2018. Providers are only required to update NPPES when their information changes, so an older date does not necessarily mean the details are wrong — but it is worth a quick call before you travel.

Number check

1407160419 passes the NPI check digit test The final digit 9 matches the value computed from the first nine digits, so this is a well-formed NPI.
How the check works, step by step

Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.

Digit 8 0 8 4 0 1 4 0 7 1 6 0 4 1
Doubled? ×2 ×2 ×2 ×2 ×2 ×2 ×2
Value 8 0 8 8 0 2 4 0 7 2 6 0 4 2

Sum = 51 · next multiple of 10 = 60 · check digit = 9 · actual last digit = 9

A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.

Common questions

What is NPI number 1407160419?
NPI 1407160419 is the National Provider Identifier assigned to Patricia Balcacer De La Cruz, M.D. in Miami, FL. It is a 10-digit number issued by the Centers for Medicare & Medicaid Services and used on claims, referrals, and prescriptions to identify the provider.
What does Diagnostic Radiology cover?
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
How do I contact Patricia Balcacer De La Cruz, M.D.?
The phone number on file with NPPES is (305) 243-5512, last updated Nov 15, 2018. Because NPPES is only updated when a provider files a change, call ahead to confirm the number and the current practice address before visiting.
Does Patricia Balcacer De La Cruz, M.D. accept Medicare?
This NPI has an approved Medicare enrolment in PECOS, which means the provider is enrolled to bill Medicare. Enrolment does not guarantee they are accepting new Medicare patients — verify directly with the office.
Is NPI 1407160419 a valid number?
Yes. 1407160419 passes the Luhn check digit validation that CMS uses for NPI numbers, and it resolves to an active record in the registry.
How to use this page. Everything here comes from public federal records. Tips Health does not verify quality of care, confirm that a licence is currently active, or check malpractice history, and accepts no fees for placement. A listing is not a recommendation. Verify independently before seeking care.