Tania Ruth Crussiah, M.D.
Individual provider Active NPI Family Medicine Physician · Williamsport, MD
NPI 1497962450 · NPPES record last updated Dec 11, 2019
Key facts
- NPI
- 1497962450
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- D66288 (MD)
- Practice address
- 3 Byrkit Dr
Suite 235
Williamsport, MD 21795-1158 - Phone
- (301) 582-1150
- Fax
- (301) 582-0905
- NPI assigned
- May 17, 2007
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 16
Hospital & facility affiliations 5
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- Loma Linda University School of Medicine, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Meritus Medical Center Inc
Medical Practices of Antietam, LLC
Practice addresses (Care Compare)
11110 Medical Campus Rd
Hagerstown, MD 21742-6700
3 Byrkit Dr
Williamsport, MD 21795-1158
Phone (301) 582-1150
Hospital & facility affiliations
- Meritus Medical Center, Inc
- Home Call
- Hospice of Washington County, Inc
- Berkeley Medical Center
- Meritus Medical Center
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MD
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20080226000198 | MD | Practitioner - Family Practice | 7719061001 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME 95139 | FL | MD | Family Medicine Physician |
| D66288 | MD | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Meritus Urgent Care LLC | Current |
Accepting new patients | |
| Meritus Urgent Care, LLC | Current |
Accepting new patients | |
| Medical Practices of Antietam LLC | Current |
Accepting new patients | |
| Medical Practices of Antietam, LLC | Family Medicine | Current |
Accepting new patients |
| Frederick Health Hospital Inc | Past | Accepting new patients | |
| Meritus Medical Laboratory LLC | Past | Accepting new patients |
Locations
13620 Crayton Blvd
Hagerstown, MD 21742
Phone (240) 313-3100
11116 Medical Campus Rd
Hagerstown, MD 21742
Phone (301) 766-7600
3 Byrkit Dr
Ste 235
Williamsport, MD 21795
Phone (301) 582-1150
3 Byrkit Dr
Williamsport, MD 21795
Phone (301) 582-1150
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | ME 95139 | FL | |
| Family Medicine Physician | 207Q00000X | D66288 | MD | Yes |
Addresses
Primary practice location
3 Byrkit Dr
Suite 235
Williamsport, MD 21795-1158
Mailing address
3 Byrkit Dr
Suite 235
Williamsport, MD 21795-1158
Phone (301) 582-1150
Other providers in Williamsport, MD
- Cedar Ridge Children'S Home and School
- Judith Ann Christner
- Amanda Marie Cook
- County Medical Transport, Inc
- Jordan Cronin
- Deanna Daley
- Megan Dmuchowski
- Theresa Doub
- Allison Denise Edwards
- Brenda Eisenman
All providers in Williamsport, MD · Family Medicine Physician in Maryland
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 11, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.