Rafael De La Cruz, MD
NPI 1669460655ActiveIndividual· Internal Medicine, Infectious Disease· Alton, IL
Internal Medicine, Infectious Disease (MD) with Fairview Heights Medical Group SC, practicing in Alton, Illinois. Their prescriptions cost Medicare Part D more than their services did: $373,446 for 1,040 claims, against $87,733 paid for services in 2024. Kerecis Limited reported $141.24 in payments in 2025, mostly food and beverage. Lists Alton Memorial Hospital and 4 other hospitals as hospital affiliations.
Overview
| NPI | 1669460655 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | MD |
| Sole proprietor | No |
| NPI issued | Oct 12, 2005 |
| Last updated in NPPES | Feb 26, 2021 |
| Certified by provider | Feb 26, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Internal Medicine, Infectious Disease Primary | 207RI0200X | 036-108921 | IL |
| Internal Medicine, Infectious Disease | 207RI0200X | 2008007441 | MO |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Infectious Disease (IL); Practitioner - Infectious Disease (MO) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 429 |
|---|---|
| Services billed | 1,522 across 29 procedure codes |
| Paid by Medicare | $87,733 |
Part D prescriptions in 2024
| Prescriptions (claims) | 1,040 · 1,380 30-day fills |
|---|---|
| Patients | 238 |
| Total drug cost | $373,446 |
| Generic share | 92% of claims |
Education and affiliations
| Graduation year | 1995 |
|---|---|
| Medicare specialty | Infectious Disease |
| Secondary specialties | Internal Medicine |
Medical group
- Fairview Heights Medical Group SCAlton, IL · 444 clinicians
Hospital affiliations
- Alton Memorial HospitalAlton, IL
- Barnes Jewish HospitalSaint Louis, MO
- Memorial HospitalBelleville, IL
- Missouri Baptist Medical CenterSaint Louis, MO
- Progress West HospitalOfallon, MO
Other facilities
- Apollo MedicalHome health agency · Saint Louis, MO
- Bjc Home Care ServicesHome health agency · Saint Louis, MO
- Elara CaringHome health agency · Bridgeton, MO
Industry payments (Open Payments)
- 2025$141.24 · 1 payment from 1 company
- 2024$154.31 · 9 payments from 6 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Kerecis Limited | $141.24 | 1 |
What the 2025 payments were for
- Food and Beverage$141.24 · 1 payment
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
Other Internal Medicine, Infectious Disease providers in Alton
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All Internal Medicine, Infectious Disease providers in Illinois →