Individual provider Active NPI

Crystal Maksimik, DO

  • Cardiovascular Disease Physician
  • Orwigsburg, PA
National Provider Identifier
1306900865
Registry record updated Sep 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
OS013642 Issued in PA
Practice address
1260 Centre Tpke Ste 107
Orwigsburg, PA 17961-8956
Phone
(570) 516-9647
Fax
(570) 968-4084
NPI assigned
Dec 20, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X OS013642 PA Primary

Addresses

Primary practice location

1260 Centre Tpke Ste 107
Orwigsburg, PA 17961-8956

Mailing address

1260 Centre Tpke Ste 107
Orwigsburg, PA 17961-8956
Phone (570) 516-9647

Other identifiers 1

IdentifierTypeStateIssuer
101805124MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20070124000093 PA Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 1658372362 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Internal Medicine
Education
Philadelphia College of Osteopathic Medicine, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Integrated Medical Group P CGroup PAC ID 1355247180, 105 clinicians

Practice addresses (Care Compare)

1260 Centre Tpke
Suite 108
Orwigsburg, PA 17961-8956
Phone (570) 516-9647

Hospital & facility affiliations

  • Geisinger St. Luke'S Hospital Hospital, Orwigsburg, PA, CCN 390332
  • Schuylkill Medical Center - South Jackson Street Hospital, Pottsville, PA, CCN 390030

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
OS013642PAMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Integrated Medical Group P C CurrentSince Jul 7, 2025 Accepting new patients
St. Luke'S Physician Group, Inc. Current Accepting new patients
St. Luke'S Physician Group, Inc. CurrentSince Dec 10, 2019 Accepting new patients
St Luke'S Physician Group Inc CurrentSince Dec 10, 2019 Accepting new patients
Integrated Medical Group, P.C. CurrentSince Jul 7, 2025 Accepting new patients
Gslpg, Inc CurrentSince Dec 10, 2019 Accepting new patients
Pinnacle Health Cardiovascular Institute Inc Cardiovascular Disease CurrentSince Sep 1, 2017 Accepting new patients
Integrated Medical Group Past Accepting new patients

Locations

421 Chew St
Allentown, PA 18102
Phone (610) 776-4500

360 Alexander Spring Rd
Carlisle, PA 17015
Phone (717) 243-6557

801 Ostrum St
Fountain Hill, PA 18015
Phone (610) 954-2200

409 S 2nd St
Ste 2F
Harrisburg, PA 17104
Phone (717) 231-8049

4310 Londonderry Rd
Harrisburg, PA 17109
Phone (717) 657-7520

211 N 12th St
Lehighton, PA 18235
Phone (610) 377-1300

100 Paramount Blvd
Orwigsburg, PA 17961
Phone (272) 639-1000

1260 Centre Tpke
Ste 108
Orwigsburg, PA 17961
Phone (570) 516-9647

82 Tunnel Rd
Pottsville, PA 17901
Phone (570) 622-5455

420 S Jackson St
Pottsville, PA 17901
Phone (570) 621-5000

48 Tunnel Rd
Ste 104
Pottsville, PA 17901
Phone (570) 622-5555

1000 N Front St
Wormleysburg, PA 17043

Interoperability endpoints

  • Direct secure messaging: cmaksimik@imgpc.medentdirect.com

Organizations & group practices 8

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 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": "1166572800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757894400000",
    "number": "1306900865",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1260 CENTRE TPKE STE 107",
            "city": "ORWIGSBURG",
            "state": "PA",
            "postal_code": "179618956",
            "telephone_number": "570-516-9647",
            "fax_number": "570-968-4084"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1260 CENTRE TPKE STE 107",
            "city": "ORWIGSBURG",
            "state": "PA",
            "postal_code": "179618956",
            "telephone_number": "570-516-9647",
            "fax_number": "570-968-4084"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAKSIMIK",
        "first_name": "CRYSTAL",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-20",
        "last_updated": "2025-09-15",
        "certification_date": "2025-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "PA",
            "license": "OS013642",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "101805124",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Orwigsburg, PA

Sources for this page

Verify at the official NPI Registry.