Individual provider Active NPI

Charles Hopkins Crawford III, MD

  • Orthopaedic Surgery of the Spine Physician
  • Louisville, KY
National Provider Identifier
1265570808
Registry record updated May 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery of the Spine PhysicianTaxonomy code 207XS0117X
License
43066 Issued in KY
Practice address
210 E Gray St
Suite 900
Louisville, KY 40202-3900
Phone
(502) 584-8002
Fax
(502) 589-0849
NPI assigned
Feb 4, 2007
Last updated
May 6, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 6, 2024

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery of the Spine Physician 207XS0117X 2008004916 MO
Orthopaedic Surgery of the Spine Physician 207XS0117X R0688 KY
Orthopaedic Surgery of the Spine Physician 207XS0117X TP699 KY
Orthopaedic Surgery of the Spine Physician 207XS0117X 43066 KY Primary

Addresses

Primary practice location

210 E Gray St
Suite 900
Louisville, KY 40202-3900

Mailing address

PO Box 776351
Chicago, IL 60677-6351
Phone (502) 588-9490

Other identifiers 8

IdentifierTypeStateIssuer
000051983KOtherNLSC/HUMANA
3754853000OtherNLSC/PAD
109190OtherNLSC/SIHO
200951090MedicaidIN
7157066OtherNLSC/CIGNA
000000628568OtherNLS/ANTHEM
50026895OtherNLSC/PHP
7100238200MedicaidKY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY, IN2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20090929000065 KY Practitioner - Orthopedic Surgery 2567518814 Reassigns benefits to 1 organization
I20200625002874 IN Practitioner - Orthopedic Surgery 2567518814 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
University of Louisville School of Medicine, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
SN Kentuckiana Rehab, LLCGroup PAC ID 1254671464, shared by 19 NPIs, 339 clinicians
Community Medical Associates IncGroup PAC ID 7012811284, 1,368 clinicians

Practice addresses (Care Compare)

12613 Taylorsville Rd
Louisville, KY 40299-5496
Phone (502) 267-1480

200 E Chestnut St
Louisville, KY 40202-1831
Phone (502) 893-1270

210 E Gray St
Louisville, KY 40202-3903
Phone (502) 629-5400

210 E Gray St
Suite 900
Louisville, KY 40202-3905
Phone (502) 584-7525

825 Barret Ave
Louisville, KY 40204-1743
Phone (502) 272-5165

9300 Stonestreet Rd
Suite 200
Louisville, KY 40272-2894
Phone (502) 935-8061

9880 Angies Way
Suite 300
Louisville, KY 40241-2853
Phone (502) 584-7525

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
81.11 of 100Reported as group
Quality
63.34
Promoting interoperability
100
Improvement activities
40
Cost
73.68

Procedures performed for Medicare patients

ProcedureNumber of procedures
Spinal fusion342
Laminectomy or laminotomy (partial removal of spine bones)27

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R0688KYMDOrthopaedic Surgery of the Spine Physician
2008004916MOMDOrthopaedic Surgery of the Spine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Community Medical Associates, Inc. Current Accepting new patients
Community Medical Associates, Inc. CurrentSince Sep 1, 2009 Accepting new patients
Community Medical Associates, Inc. CurrentSince Sep 1, 2009 Accepting new patients
Norton Hospitals, Inc Past Accepting new patients
Community Medical Associates, Inc. Past Accepting new patients

Locations

1373 E State Road 62
#6F
Madison, IN 47250
Phone (502) 629-7181

210 E Gray St
Ste 900
Louisville, KY 40202
Phone (502) 584-8002

825 Barret Ave
Louisville, KY 40204
Phone (502) 272-5165

Interoperability endpoints

  • Direct secure messaging: ccrawford10971@direct.nortonhealthcare.org

Organizations & group practices 5

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 18

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 18

NPI Registry JSON

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

{
    "created_epoch": "1170547200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714953600000",
    "number": "1265570808",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 776351",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606776351",
            "telephone_number": "502-588-9490",
            "fax_number": "502-272-5116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 E GRAY ST",
            "address_2": "SUITE 900",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402023900",
            "telephone_number": "502-584-8002",
            "fax_number": "502-589-0849"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRAWFORD",
        "first_name": "CHARLES",
        "middle_name": "HOPKINS",
        "name_prefix": "Dr.",
        "name_suffix": "III",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-04",
        "last_updated": "2024-05-06",
        "certification_date": "2024-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207XS0117X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Orthopaedic Surgery of the Spine",
            "state": "MO",
            "license": "2008004916",
            "primary": false
        },
        {
            "code": "207XS0117X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Orthopaedic Surgery of the Spine",
            "state": "KY",
            "license": "R0688",
            "primary": false
        },
        {
            "code": "207XS0117X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Orthopaedic Surgery of the Spine",
            "state": "KY",
            "license": "TP699",
            "primary": false
        },
        {
            "code": "207XS0117X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Orthopaedic Surgery of the Spine",
            "state": "KY",
            "license": "43066",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NLSC/HUMANA",
            "identifier": "000051983K",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NLSC/PAD",
            "identifier": "3754853000",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NLSC/SIHO",
            "identifier": "109190",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200951090",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NLSC/CIGNA",
            "identifier": "7157066",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NLS/ANTHEM",
            "identifier": "000000628568",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NLSC/PHP",
            "identifier": "50026895",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100238200",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

Verify at the official NPI Registry.