NPIMap

Individual provider Active NPI

Damian Crawford, M.D.

  • Internal Medicine Physician
  • Boston, MA
National Provider Identifier
1063686327
Registry record updated Feb 9, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
D69472 Issued in MD
Practice address
80 E Concord St
Evans 124
Boston, MA 02118-2307
Phone
(617) 638-6500
NPI assigned
Apr 17, 2008
Last updated
Feb 9, 2017By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 9, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X D69472 MD Primary

Addresses

Primary practice location

80 E Concord St
Evans 124
Boston, MA 02118-2307

Mailing address

4940 Eastern Ave
Baltimore, MD 21224-2735
Phone (410) 419-2881

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20091204000572 MD Practitioner - Internal Medicine 7719054410 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of Maryland School of Medicine, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mdics at Civista LLCGroup PAC ID 8325200793, 35 clinicians

Practice addresses (Care Compare)

400 W 7TH St
Frederick, MD 21701-4506
Phone (240) 566-3300

5 Garrett Ave
La Plata, MD 20646-5960
Phone (443) 949-0814

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Mdics at Civista LLC CurrentSince Jul 1, 2025 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients
Civista Medical Center Inc Past Accepting new patients

Locations

5 Garrett Ave
La Plata, MD 20646
Phone (301) 609-4000

Ownership & related parties

All facility ownership & control disclosures 6

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Chase Brexton Health Services IncColumbia, MD, CCN 211855 Federally qualified health center Corporate Director (5%) Jan 1, 2016
Chase Brexton Health CareEaston, MD, CCN 211864 Federally qualified health center Corporate Director (5%) Jan 1, 2016
Chase Brexton Health CareBaltimore, MD, CCN 211819 Federally qualified health center Corporate Director (5%) Jan 1, 2016
Chase Brexton Health Services IncWindsor Mill, MD, CCN 211850 Federally qualified health center Corporate Director (5%) Jan 1, 2019
Chase Brexton Health CareColumbia, MD, CCN 211893 Federally qualified health center Corporate Director (5%) Jan 1, 2019
Chase Brexton Health Services IncGlen Burnie, MD, CCN 211897 Federally qualified health center Corporate Director (5%) Jan 1, 2016

Owned or controlled facilities with NPI records 7

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 4

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1208390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1486598400000",
    "number": "1063686327",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4940 EASTERN AVE",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212242735",
            "telephone_number": "410-419-2881"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "80 E CONCORD ST",
            "address_2": "EVANS 124",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021182307",
            "telephone_number": "617-638-6500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRAWFORD",
        "first_name": "DAMIAN",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-04-17",
        "last_updated": "2017-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MD",
            "license": "D69472",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boston, MA

Sources for this page

Verify at the official NPI Registry.