Crystal Acosta

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

S9445 Issued in TX

Practice address

2601 Hospital Blvd Ste 113
Corpus Christi, TX 78405-1876

Phone

(361) 902-4789

NPI assigned

Apr 18, 2017

Last updated

Mar 15, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Family PracticeAlso: Obstetrics/Gynecology

Education

University of Texas Medical School at Houston, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Houston Community Health Centers, Inc.Group PAC ID 8224940028, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Houston Community Health Centers Inc

  dba Denver Harbor Medical Clinic

  • Federally Qualified Health Center (FQHC)
  • Houston, TX
  • NPI 1093780280
  Medicare reassignment Care Compare group NPD
• Christus Trinity Clinic Texas

  dba Christus Trinity Clinic

  • Family Medicine Physician
  • Tyler, TX
  • NPI 1285684225
  Medicare reassignment NPD
• Christus Trinity Clinic Texas

  dba Christus Trinity Clinic

  • Rural Health Clinic/Center
  • Winnsboro, TX
  • NPI 1801673165
  NPD
• Houston Community Health Centers, Inc.

  dba Airline Children's Clinic

  • Federally Qualified Health Center (FQHC)
  • Houston, TX
  • NPI 1447416615

  Family Medicine

  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1492473600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678838400000",
    "number": "1053845859",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2601 HOSPITAL BLVD STE 113",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784051876"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2601 HOSPITAL BLVD STE 113",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784051876",
            "telephone_number": "361-902-4789"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2606 Hospital Blvd Ste B",
            "address_purpose": "LOCATION",
            "city": "Corpus Christi",
            "state": "TX",
            "postal_code": "784051804",
            "country_code": "US",
            "telephone_number": "361-902-4789",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ACOSTA",
        "first_name": "CRYSTAL",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-04-18",
        "last_updated": "2023-03-15",
        "certification_date": "2023-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "S9445",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Raymond Burnett Acebo, MD
• Jessica I Acevedo-Gracia, M.D.
• Mayra Alejandra Aceves, LSA
• Acgdds Holdings LLC
• Achi Health Care LLC (Shoreline DME)
• Daniel Acosta, CPNP-AC
• Daniel Acosta, M.D.
• Active Foot Shoes (Mauricio Cantu Jr)
• Active Hearing & Balance Center Inc (dba Active Hearing and Tinnitus Center)
• Valerie Acuna

• Family Medicine Physician in Corpus Christi, TX
• Providers in Corpus Christi, TX by specialty
• Family Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.