Individual provider Active NPI

Crystal Tamara Arrendell, MD

  • Family Medicine Physician
  • Hyattsville, MD
National Provider Identifier
1104442078
Registry record updated Jun 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
D0102062 Issued in MD
Practice address
831 Brightseat Road
Hyattsville, MD 20785
Phone
(301) 673-3335
NPI assigned
Jun 17, 2020
Last updated
Jun 17, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X D0102062 MD Primary

Addresses

Primary practice location

831 Brightseat Road
Hyattsville, MD 20785

Mailing address

831 Brightseat Road
Hyattsville, MD 20785
Phone (301) 673-3335

Other names 1

  • Crystal Tamara Douglas Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
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

Enrollment IDStateProvider typePAC IDDetails
I20230703002012 MD Order and Referring Only - Geriatric MedicinePractitioner - Geriatric Medicine 9335508746

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D0102062MDMDFamily Medicine Physician

Interoperability endpoints

  • Direct secure messaging: crystal.arrendell@959864676810756.direct.elationemr.com

NPI Registry JSON

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

{
    "created_epoch": "1592352000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750118400000",
    "number": "1104442078",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "831 BRIGHTSEAT ROAD",
            "city": "HYATTSVILLE",
            "state": "MD",
            "postal_code": "20785",
            "telephone_number": "301-673-3335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "831 BRIGHTSEAT ROAD",
            "city": "HYATTSVILLE",
            "state": "MD",
            "postal_code": "20785",
            "telephone_number": "301-673-3335"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ARRENDELL",
        "first_name": "CRYSTAL",
        "middle_name": "TAMARA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-06-17",
        "last_updated": "2025-06-17",
        "certification_date": "2025-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MD",
            "license": "D0102062",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CRYSTAL",
            "last_name": "DOUGLAS",
            "middle_name": "TAMARA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Hyattsville, MD

Sources for this page

Verify at the official NPI Registry.