Charles K Crumb, M.D.

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

License

E0322 Issued in TX

Practice address

7777 SW Freeway
Suite 304
Houston, TX 77074-1896

Phone

(713) 270-4545

Fax

(713) 270-9197

NPI assigned

Jul 8, 2005

Reactivated

Mar 29, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Doctor of Medicine

Practice roles

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.

• Southwest Nephrology Associates, LLP

  • Nephrology Physician
  • Houston, TX
  • NPI 1588774087
  NPD (past)

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

{
    "created_epoch": "1120780800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1265155200000",
    "number": "1447258942",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7777 SW FREEWAY",
            "address_2": "SUITE 304",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770741896",
            "telephone_number": "713-270-4545",
            "fax_number": "713-270-9197"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7777 SW FREEWAY",
            "address_2": "SUITE 304",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770741896",
            "telephone_number": "713-270-4545",
            "fax_number": "713-270-9197"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRUMB",
        "first_name": "CHARLES",
        "middle_name": "K",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-07-08",
        "last_updated": "2010-02-03",
        "deactivation_date": "2006-03-15",
        "reactivation_date": "2006-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "TX",
            "license": "E0322",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "114217602",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Andreana Raina Rosa Trinidad Crucillo, PT
• Cruise Anesthesia PLLC
• Tara Cruise, MA
• Sarah Crulcich, MPH, RDN, LD
• Todd Crum, M.D.
• Brittany Crumbley
• Christine Alison Crumbley, PHD, RD
• Sanedra Crumbley
• Dionne W Crump, LCSW
• Kenny Casey Crump Jr.

• Nephrology Physician in Houston, TX
• Providers in Houston, TX by specialty
• Nephrology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.