Active NPI
Karl Vincent Crudo, M.D.
- Family Medicine Physician
- Galveston, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- MD429780
- Practice address
- 301 University Blvd
Galveston, TX 77555-5302 - Phone
- (409) 772-2222
- NPI assigned
- Aug 25, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | MD429780 | PA | Primary |
Addresses
Primary practice location
301 University Blvd
Galveston, TX 77555-5302
Mailing address
301 University Blvd
Galveston, TX 77555-5302
Phone (409) 772-2222
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Other, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
2660 Gulf Fwy S
League City, TX 77573-6820
Phone (832) 505-2200
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD429780 | PA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Utmb Faculty Group Practice | Current | Accepting new patients |
Locations
2020 E Highway 6
Alvin, TX 77511
Phone (281) 585-2530
301 University Blvd
Galveston, TX 77555
Phone (409) 747-1883
511 Park Grove Dr
Katy, TX 77450
Phone (281) 398-7001
2660 Gulf Fwy S
League City, TX 77573
Phone (832) 505-2100
10121 Emmett F Lowry Expy
Texas City, TX 77591
Phone (409) 938-8466
9300 Emmett F Lowry Expy
Ste 138
Texas City, TX 77591
Phone (409) 486-9686
17448 Highway 3
Ste 200
Webster, TX 77598
Phone (832) 505-1748
Interoperability endpoints
- kcrudomd9692@direct.utmb.edu
Organizations & group practices 1
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.
-
- General Practice Physician
- Galveston, TX
- NPI 1942241146
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Webster, TX
- NPI 1063466035
-
- Home Health Agency
- Desoto, TX
- NPI 1801880554
-
- Home Health Agency
- Galveston, TX
- NPI 1659594737
-
- General Acute Care Hospital
- Galveston, TX
- NPI 1548226988
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156464000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1214524800000",
"number": "1891803516",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "301 UNIVERSITY BLVD",
"city": "GALVESTON",
"state": "TX",
"postal_code": "775555302",
"telephone_number": "409-772-2222"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "301 UNIVERSITY BLVD",
"city": "GALVESTON",
"state": "TX",
"postal_code": "775555302",
"telephone_number": "409-772-2222"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CRUDO",
"first_name": "KARL",
"middle_name": "VINCENT",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-08-25",
"last_updated": "2008-06-27",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "PA",
"license": "MD429780",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Galveston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2008; 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.