Individual provider Active NPI

John Everett Crews III, M.D.

  • Surgery Physician
  • Philadelphia, PA
National Provider Identifier
1629169974
Registry record updated Aug 25, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
MD431004 Issued in PA
Practice address
655 W Park LN
Suite 655
Philadelphia, PA 19144-3712
Phone
(267) 573-9705
Fax
(215) 531-8066
NPI assigned
Sep 28, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X MD431004 PA Primary

Addresses

Primary practice location

655 W Park LN
Suite 655
Philadelphia, PA 19144-3712

Mailing address

655 W Park LN
Suite 655
Philadelphia, PA 19144-3712
Phone (267) 573-9705

Other identifiers 10

IdentifierTypeStateIssuer
001940161OtherPABLUE CROSS NE PA
2165989OtherPAUNITED HEALTHCARE
7632300OtherPAAETNA
P00759527OtherPAMEDICARE RAILROAD
1018895810001MedicaidPA
106959OtherPAGEISINGER
821627OtherPAFIRST PRIORITY HEALTH
001955909OtherPAMEDICARE ADVANTAGE PPO
1955909OtherPABLUE SHIELD
7308884MedicaidVA

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
I20070621000207 PA Practitioner - General PracticePractitioner - General Surgery 9739109521 Practice locations: Philadelphia, PA

National Provider Directory

National Provider Directory
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

State licenses

LicenseStateTypeSpecialty
MD431004PAMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University Group Medical Associates, P.C Surgery Past Accepting new patients
Sterling Emergency Services of Virginia Inc Past Accepting new patients
Ecs of Virginia, Inc. Past Accepting new patients

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1159401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1408924800000",
    "number": "1629169974",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "655 W PARK LN",
            "address_2": "SUITE 655",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191443712",
            "telephone_number": "267-573-9705",
            "fax_number": "215-531-8066"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "655 W PARK LN",
            "address_2": "SUITE 655",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191443712",
            "telephone_number": "267-573-9705",
            "fax_number": "215-531-8066"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CREWS",
        "first_name": "JOHN",
        "middle_name": "EVERETT",
        "name_prefix": "Dr.",
        "name_suffix": "III",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-28",
        "last_updated": "2014-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "PA",
            "license": "MD431004",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS NE PA",
            "identifier": "001940161",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "2165989",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7632300",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "P00759527",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1018895810001",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GEISINGER",
            "identifier": "106959",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIRST PRIORITY HEALTH",
            "identifier": "821627",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE ADVANTAGE PPO",
            "identifier": "001955909",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "1955909",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7308884",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.