Peter Albert Crisologo, MD

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

License

MD.14016 Issued in AL

Practice address

1912 Alabama Hwy 157
Cullman Regional Medical Center
Cullman, AL 35058-0000

Phone

(256) 737-2637

Fax

(256) 734-6257

NPI assigned

Nov 30, 2005

Last updated

Sep 8, 2017By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 5

Medicare fee-for-service enrollment

Enrolled in AL

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Cullman Regional Pain Services LLC

  • Anesthesiology Physician
  • Cullman, AL
  • NPI 1326507013
  Medicare reassignment NPD
• Cullman Anesthesiology & Pain Consultants PC

  • Anesthesiology Physician
  • Cullman, AL
  • NPI 1548369382
  NPD (past)

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

{
    "created_epoch": "1133308800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1504828800000",
    "number": "1194709550",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2151 OLD ROCKY RIDGE ROAD",
            "address_2": "SUITE 106",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352167251",
            "telephone_number": "205-989-1080",
            "fax_number": "205-989-1087"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1912 ALABAMA HWY 157",
            "address_2": "CULLMAN REGIONAL MEDICAL CENTER",
            "city": "CULLMAN",
            "state": "AL",
            "postal_code": "350580000",
            "telephone_number": "256-737-2637",
            "fax_number": "256-734-6257"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRISOLOGO",
        "first_name": "PETER",
        "middle_name": "ALBERT",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-30",
        "last_updated": "2017-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "AL",
            "license": "MD.14016",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHSPRING OF ALABAMA",
            "identifier": "2777",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE (GROUP)",
            "identifier": "631003288",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "051086833",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH STRATEGIES INC",
            "identifier": "2777",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000086833",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Marki Crawford
• Bobi Jo Creel, CRNP
• Paula Brooke Creel, CRNP
• Shalyn Creel, PHARM. D
• Adam Benjamin Crisologo, MD
• CRMC Medical Group LLC (CRMC Medical Group)
• CRMC Medical Group LLC (Cullman Regional Urgent Care)
• Dusty Croswell, MS
• Hannah Baker Crow, MSN RN NNP
• David Lee Crowder, MD

• Anesthesiology Physician in Cullman, AL
• Providers in Cullman, AL by specialty
• Anesthesiology Physician in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2017; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.