Rafael De La Cruz, MD
Infectious Disease Physician · Alton, IL
Rafael De La Cruz, MD is an infectious disease physician with a practice address in Alton, Illinois, and NPI 1669460655, issued on Oct 12, 2005. Check the license (Illinois 036-108921, as entered in NPPES) on the Illinois Department of Financial and Professional Regulation; the Medicare figures below come from public CMS files.
- Name
- Rafael De La Cruz
- Credential
- MD
- Primary taxonomy
- Infectious Disease Physician 207RI0200X
- License numbers
- 036-108921 IL
2008007441 MO
Self-reported in NPPES; status is on the state search - Practice location
- 4 Memorial Dr Ste 230B, Alton, IL 62002
- Phone
- (636) 344-2014
- Enumerated
- Oct 12, 2005
- Record last updated
- Feb 26, 2021 (not updated in 5 years: call before relying on the address or phone)
- Fax
- (314) 747-1476
- Medicaid ID
- 1669460655 MO
- Medicare enrollment
- Enrolled (PECOS I20050412000220); accepts Medicare assignment
- Entity
- Type 1 · individual
8 nearest infectious disease physician records → All 464 in Illinois → Look up another NPI →
Also registered at 4 Memorial Dr Ste 230B
A shared address usually means a shared clinic or building; it does not show who employs whom.
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- Matthew Musielak, MDSurgery Physician1477781177
- Mary Schinkel, D.O.Facial Plastic Surgery Physician1386892172
Verify Rafael De La Cruz in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersIllinois Department of Financial and Professional Regulation
Search for license 036-108921Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
51% more Medicare Part D claims than the average infectious disease physician in 2024
1,040 Medicare Part D claims for 238 beneficiaries, against an average of 689 among the 7,388 providers of this specialty who prescribed in Part D. Brand-name drugs were 8% of claims.
Most prescribed
- Doxycycline Hyclate140 claims
- Cephalexin116 claims
- Ceftriaxone78 claims
- Daptomycin67 claims
- Meropenem65 claims
- Ertapenem63 claims
Source: CMS Medicare Part D Prescribers by Provider and Drug, 2024 (data.cms.gov). Part D covers prescriptions for Medicare patients only; drugs with fewer than 11 claims are not published.
Industry payments in 2024: $154.31
9 payments; by number, the most common kind was food and beverage; the largest payer was Kerecis Limited. The 3,895 providers of this specialty with any payment received $4,362.19 on average. Payments are reported by manufacturers, not by the provider, and are not a sign of wrongdoing.
Source: CMS Open Payments, program year 2024 (openpaymentsdata.cms.gov); average among providers of this specialty with at least one payment.
Bills Medicare through one group practice
- Fairview Heights Medical Group SCAlton, IL
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
Rafael De La Cruz among 464 infectious disease physician records in Illinois
Rafael De La Cruz, MD is one of 464 infectious disease physician records with a practice address in Illinois. 79% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2005, is newer than 0% of them.
- NPI issued2005 · 0% of these records are older, 84% newer
- In a Medicare fileYes · 79% of these records are
- In the CMS Doctors and Clinicians fileYes · 67% of these records are
- Graduated1995 · median 2004 among the 311 with a school on file
- Record last updated2021 · 61% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 207RI0200X and a Illinois practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
Infectious Disease Physician providers in Illinois
There are 464 infectious disease physician records in Illinois.
All 464 in Illinois → Every provider in Alton → Infectious Disease Physician nationwide →
The 8 infectious disease physician records with the nearest ZIP codes
- Venkat Minnaganti, M.D.Mattoon, IL 619381407812746
- Inwha Kim, M.D.Danville, IL 618321356349799
- Albert England, M.D.Champaign, IL 618201699782953
- Stephen Dolan, MDUrbana, IL 618011033137104
- Janet Jokela, M.D.Urbana, IL 618011215025804
- Amir Khan, MDUrbana, IL 618011366638074
- Deepa Sirigeere Prabhakar, MDUrbana, IL 618011609107952
- Isha Tyagi, MDUrbana, IL 618011487816161
Common questions
What is Rafael De La Cruz, MD's NPI number?
Rafael De La Cruz, MD's National Provider Identifier (NPI) is 1669460655, issued on Oct 12, 2005. An NPI identifies a provider in billing; it is not a license.
Where is Rafael De La Cruz, MD located?
The NPPES record lists a practice address at 4 Memorial Dr Ste 230B, Alton, IL, 62002. Phone: (636) 344-2014. Providers update this record themselves, so call before visiting.
How can I verify Rafael De La Cruz, MD's license?
NPPES lists Illinois license number 036-108921, as entered by the provider. Search the Illinois Department of Financial and Professional Regulation at https://idfpr.illinois.gov/checklicense.html. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.
How much does Rafael De La Cruz, MD prescribe under Medicare Part D?
In 2024, Rafael De La Cruz, MD had 1,040 Medicare Part D claims for 238 beneficiaries; the average among infectious disease physician prescribers was 689. Part D covers Medicare prescriptions only.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.