Individual provider Active NPI

Crystal D. Hines-Mays, M.D.

  • Family Medicine Physician
  • Homer Glen, IL
National Provider Identifier
1154348951
Registry record updated Feb 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
036-107239 Issued in IL
Practice address
12701 W 143Rd St
Homer Glen, IL 60491-7715
Phone
(815) 300-1100
NPI assigned
Jul 16, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 7, 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 036-107239 IL Primary

Addresses

Primary practice location

12701 W 143Rd St
Homer Glen, IL 60491-7715

Mailing address

15516 Scotsglen Rd
Orland Park, IL 60462-2328
Phone (773) 512-6968

Other practice location 1

3700 W 203rd St Ste 301
Olympia Fields, IL 60461-1182
Phone (708) 679-2850

Other practice location 2

2231 E 95th St Ste 210
Chicago, IL 60617-4804
Phone (773) 768-7700

Other practice location 3

18636 Dixie Hwy
Homewood, IL 60430-3741
Phone (708) 647-0571

Other practice location 4

15516 Scotsglen Rd
Orland Park, IL 60462-2328
Phone (773) 512-6968

Other identifiers 2

IdentifierTypeStateIssuer
01067879AOtherINSTATE LICENSE
F400093321OtherILMEDICARE PTAN

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address chinesmays600049@Direct.FranciscanAlliance.org Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
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
I20040610000122 IL Practitioner - Family PracticePractitioner - Geriatric MedicinePractitioner - Emergency Medicine 3678556750 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Health Service Systems, IncGroup PAC ID 2264408699, 63 clinicians

Practice addresses (Care Compare)

15505 E 127TH St
Lemont, IL 60439-4433
Phone (630) 243-8888

Hospital & facility affiliations

  • Silver Cross Home Health Home health agency, New Lenox, IL, CCN 147452
  • Silver Cross Hospital and Medical Centers Hospital, New Lenox, IL, CCN 140213
  • Advocate Christ Hospital & Medical Center Hospital, Oak Lawn, IL, CCN 140208
  • Palos Community Hospital Hospital, Palos Heights, IL, CCN 140062
  • Franciscan Health Olympia & Chicago Heights Hospital, Olympia Fields, IL, CCN 140172

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036-107239ILMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
PMR Illinois Holding, LLC CurrentSince Jan 1, 2022 Accepting new patients
Health Service Systems, Inc CurrentSince Feb 1, 2025 Accepting new patients
Health Service Systems, Inc Family Medicine CurrentSince Feb 1, 2025 Accepting new patients
Emergency Care Physician Services-Blue Island LTD Past Accepting new patients
Serenity Haven Adult Day Care Inc Past Accepting new patients
Unified Therapeutics LLC Family Medicine Past Accepting new patients

Locations

2231 E 95th St
Chicago, IL 60617
Phone (773) 768-7700

2231 E 95th St
Ste 210
Chicago, IL 60617
Phone (773) 768-7700

15505 E 127th St
Lemont, IL 60439
Phone (630) 243-8888

12701 W 143rd St
Lockport, IL 60491
Phone (708) 364-6337

540 W North St
Manhattan, IL 60442
Phone (815) 478-3890

1890 Silver Cross Blvd
Ste 265
New Lenox, IL 60451
Phone (815) 727-4292

Organizations & group practices 6

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

Hospital & facility affiliations 8

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": "1153008000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738886400000",
    "number": "1154348951",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15516 SCOTSGLEN RD",
            "city": "ORLAND PARK",
            "state": "IL",
            "postal_code": "604622328",
            "telephone_number": "773-512-6968"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12701 W 143RD ST",
            "city": "HOMER GLEN",
            "state": "IL",
            "postal_code": "604917715",
            "telephone_number": "815-300-1100"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3700 W 203rd St Ste 301",
            "address_purpose": "LOCATION",
            "city": "Olympia Fields",
            "state": "IL",
            "postal_code": "604611182",
            "country_code": "US",
            "telephone_number": "708-679-2850",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2231 E 95th St Ste 210",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606174804",
            "country_code": "US",
            "telephone_number": "773-768-7700",
            "fax_number": "773-768-7768",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "18636 Dixie Hwy",
            "address_purpose": "LOCATION",
            "city": "Homewood",
            "state": "IL",
            "postal_code": "604303741",
            "country_code": "US",
            "telephone_number": "708-647-0571",
            "fax_number": "708-647-0676",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "15516 Scotsglen Rd",
            "address_purpose": "LOCATION",
            "city": "Orland Park",
            "state": "IL",
            "postal_code": "604622328",
            "country_code": "US",
            "telephone_number": "773-512-6968",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HINES-MAYS",
        "first_name": "CRYSTAL",
        "middle_name": "D.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-16",
        "last_updated": "2025-02-07",
        "certification_date": "2025-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "036-107239",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "01067879A",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "F400093321",
            "state": "IL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "chinesmays600049@Direct.FranciscanAlliance.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "3700 W 203rd St Ste 301",
            "city": "Olympia Fields",
            "state": "IL",
            "country_code": "US",
            "postal_code": "604611182",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Homer Glen, IL

Sources for this page

Verify at the official NPI Registry.