Crystal Nwannunu, MD

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

0101282802 Issued in VA

Practice address

24560 Southpoint Dr
Aldie, VA 20105-3510

Phone

(214) 553-0017

NPI assigned

Apr 25, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in DC

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

Specialty

Dermatology

Education

University of Texas Medical School at Houston, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Clinical Dermatology Center LLCGroup PAC ID 7618395658, 7 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: cnwannunu@msm.edu

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.

• Clinical Dermatology Center, LLC

  • Dermatology Physician
  • Chantilly, VA
  • NPI 1902428709

  DC

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1587772800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776384000000",
    "number": "1669092045",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7000 FANNIN ST",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770305400",
            "telephone_number": "469-358-0955"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24560 SOUTHPOINT DR",
            "city": "ALDIE",
            "state": "VA",
            "postal_code": "201053510",
            "telephone_number": "214-553-0017"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NWANNUNU",
        "first_name": "CRYSTAL",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-04-25",
        "last_updated": "2026-04-17",
        "certification_date": "2026-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "VA",
            "license": "0101282802",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "CNwannunu@msm.edu",
            "affiliation": "N",
            "address_1": "720 Westview Dr SW",
            "city": "Atlanta",
            "state": "GA",
            "country_code": "US",
            "postal_code": "303101458",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Nova Allergy Group, LLC
• Nova Clincare, Inc.
• Nova Pulmonary Care PLLC
• Novacare and Support LLC
• Jesse Ntawutarama, DPT
• Teresa Ojode
• Rebecca Orbeta
• Orthovirginia Inc.
• Renee Packer-Lowe, RPT
• Erlinda Cruz Paguio

• Dermatology Physician in Aldie, VA
• Providers in Aldie, VA by specialty
• Dermatology Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.