Crystal Lubis, DNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

R181936 Issued in MD

Practice address

19851 Observation Dr Ste 245
Germantown, MD 20876-4151

Phone

(301) 288-1319

NPI assigned

Jun 7, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in DC

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Digestive Care Specialists LLCGroup PAC ID 8224308606, 6 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/AEBABD/Endpoint/AEBABD
• Direct secure messaging: clubis1518841@direct.trinity-health.org

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.

• Digestive Care Specialists LLC

  • Gastroenterology Physician
  • Germantown, MD
  • NPI 1225565401

  DC

  Medicare reassignment Care Compare group
• Frederick Health Hospital Inc

  • General Acute Care Hospital
  • Frederick, MD
  • NPI 1538165527
  NPD (past)

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

{
    "created_epoch": "1623024000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633737600000",
    "number": "1174190409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19851 OBSERVATION DR STE 245",
            "city": "GERMANTOWN",
            "state": "MD",
            "postal_code": "208764151",
            "telephone_number": "301-288-1319"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19851 OBSERVATION DR STE 245",
            "city": "GERMANTOWN",
            "state": "MD",
            "postal_code": "208764151",
            "telephone_number": "301-288-1319"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUBIS",
        "first_name": "CRYSTAL",
        "name_prefix": "Dr.",
        "credential": "DNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-07",
        "last_updated": "2021-10-09",
        "certification_date": "2021-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "R181936",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Loudoun Medical Group, PC
• Denise A Lowe, MD
• Vanessa E Lowe, M.D.
• Andie J Lozouski, LCSW-C
• Chenming Lu
• Joyia M Lucas
• Lumicera Health Services LLC
• Lumicera Health Services, LLC
• Lumicera Health Services, LLC
• Adela Lungu Medeiros

• Family Nurse Practitioner in Germantown, MD
• Providers in Germantown, MD by specialty
• Family Nurse Practitioner in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2021; 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.