Individual provider Active NPI

Crystal J Luke, MD

  • Family Medicine Physician
  • Sylvania, OH
National Provider Identifier
1174575096
Registry record updated Nov 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
35073536 Issued in OH
Practice address
7135 Sylvania Ave
Ste 1C
Sylvania, OH 43560-5510
Phone
(419) 885-8822
Fax
(419) 885-9221
NPI assigned
May 17, 2006
Last updated
Nov 18, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 18, 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 35073536 OH Primary

Addresses

Primary practice location

7135 Sylvania Ave
Ste 1C
Sylvania, OH 43560-5510

Mailing address

7135 Sylvania Ave
Ste 1C
Sylvania, OH 43560-5510
Phone (419) 885-8822

Other identifiers 1

IdentifierTypeStateIssuer
2290257MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20070410000161 OH Practitioner - Family Practice 1850496449 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mercy Health Physicians-North LLCGroup PAC ID 2668522400, 131 clinicians

Practice addresses (Care Compare)

2222 Cherry St
Toledo, OH 43608-2675

3404 W Sylvania Ave
Toledo, OH 43623-4467
Phone (419) 407-2663

7135 Sylvania Ave
Suite 1C
Sylvania, OH 43560-5500
Phone (419) 885-8822

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Health Physicians-North LLC Family Medicine CurrentSince Jul 31, 2017 Accepting new patients
Mercy Health Physicians - North, LLC CurrentSince Jul 31, 2017 Accepting new patients
Emergency Medicine Group Past Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients
Charles G Felix LLC Past Accepting new patients
Northwest Ohio Urgent Care Inc Past Accepting new patients

Locations

2600 Navarre Ave
Oregon, OH 43616
Phone (419) 696-7200

7135 Sylvania Ave
Ste 1C
Sylvania, OH 43560
Phone (419) 843-4836

2222 Cherry St
Ste 2300
Toledo, OH 43608
Phone (419) 251-8013

Interoperability endpoints

  • Direct secure messaging: cluke79430@direct.bsmhealth.org

Organizations & group practices 7

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": "1147824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763424000000",
    "number": "1174575096",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7135 SYLVANIA AVE",
            "address_2": "STE 1C",
            "city": "SYLVANIA",
            "state": "OH",
            "postal_code": "435605510",
            "telephone_number": "419-885-8822",
            "fax_number": "419-885-9221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7135 SYLVANIA AVE",
            "address_2": "STE 1C",
            "city": "SYLVANIA",
            "state": "OH",
            "postal_code": "435605510",
            "telephone_number": "419-885-8822",
            "fax_number": "419-885-9221"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUKE",
        "first_name": "CRYSTAL",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-05-17",
        "last_updated": "2025-11-18",
        "certification_date": "2025-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "35073536",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2290257",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sylvania, OH

Sources for this page

Verify at the official NPI Registry.