Maria Abigail Crystal, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

ME113825 Issued in FL

Practice address

8550 NE 138TH Lane
The Oaks at 138TH, BLDG 800
Lady Lake, FL 32159

Phone

(352) 391-5299

NPI assigned

Sep 14, 2012

Last updated

Sep 14, 2012By the provider in NPPES

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

Medicare fee-for-service enrollment

Enrolled in FL

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

Internal Medicine

Education

Other, 2004

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Cora Health Services IncGroup PAC ID 1759290992, shared by 21 NPIs, 1,125 clinicians

Inpatient Care Specialists LLCGroup PAC ID 0345493623, 101 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Villages Regional Hospital, the Hospital, The Villages, FL, CCN 100290
• Uf Health Leesburg Hospital Hospital, Leesburg, FL, CCN 100084

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Inpatient Care Specialists LLC

  • Hospitalist Physician
  • Lake Mary, FL
  • NPI 1679817134
  Medicare reassignment Care Compare group NPD
• Cogent Healthcare of Pensacola LLC

  • Internal Medicine Physician
  • Jacksonville Beach, FL
  • NPI 1346287182
  Medicare reassignment NPD
• Florida Health Care LLC

  • Infectious Disease Physician
  • Lady Lake, FL
  • NPI 1952848913
  Medicare reassignment NPD
• Cogent Healthcare of Pensacola LLC

  • Internal Medicine Physician
  • Jacksonville, FL
  • NPI 1427631696
  NPD
• Cogent Healthcare of Pensacola LLC

  • Internal Medicine Physician
  • Fort Myers, FL
  • NPI 1538742648
  NPD
• Premiere Care Providers LLC

  • Internal Medicine Physician
  • Lady Lake, FL
  • NPI 1225675895
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Leesburg Regional Medical Center Inc

  dba Uf Health Emergency/Urgent Care Eustis Mt. Dora

  • Urgent Care Clinic/Center
  • Leesburg, FL
  • NPI 1245001189

  Hospital

  Care Compare affiliation
• Leesburg Regional Medical Center Inc

  • General Acute Care Hospital
  • Leesburg, FL
  • NPI 1245226190
  Care Compare affiliation
• LRMC Urgent Care Center

  • Urgent Care Clinic/Center
  • Leesburg, FL
  • NPI 1598841389

  Hospital

  Care Compare affiliation
• Villages Tri-County Medical Center Inc.

  dba UF Health Spanish Plaines Hospital

  • General Acute Care Hospital
  • The Villages, FL
  • NPI 1740276518
  Care Compare affiliation

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

{
    "created_epoch": "1347580800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1347580800000",
    "number": "1962752238",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13902 WELLINGTON LANE",
            "city": "GRAND ISLAND",
            "state": "FL",
            "postal_code": "32735",
            "telephone_number": "908-294-7665"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8550 NE 138TH LANE",
            "address_2": "THE OAKS AT 138TH, BLDG 800",
            "city": "LADY LAKE",
            "state": "FL",
            "postal_code": "32159",
            "telephone_number": "352-391-5299"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRYSTAL",
        "first_name": "MARIA",
        "middle_name": "ABIGAIL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-09-14",
        "last_updated": "2012-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME113825",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cora Health Services, Inc (CORA Physical Therapy- Rolling Acres)
• Cristina N Cortes, MD
• Laura Costa, APRN
• Sydnie Costello
• Teri Janeane Cristaldi, D.C.
• Jennifer Lyn Cultrera, M.D.
• Sandra Deloris Cunningham, D.C.
• Curelogics Wound Care and Hyperbaric LLC
• Maria Pilar Czupryn, ARNP
• Javion Dalhouse

• Internal Medicine Physician in Lady Lake, FL
• Providers in Lady Lake, FL by specialty
• Internal Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2012; 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.