Individual provider Active NPI

Luz Jovita Crystal, MD

  • Internal Medicine Physician
  • Fort Payne, AL
National Provider Identifier
1972544153
Registry record updated Oct 15, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
00018535 Issued in AL
Practice address
2202 Jordan Road SW
Suite 500
Fort Payne, AL 35968-3688
Phone
(256) 844-2825
Fax
(256) 844-2834
NPI assigned
Jun 9, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 00018535 AL Primary

Addresses

Primary practice location

2202 Jordan Road SW
Suite 500
Fort Payne, AL 35968-3688

Mailing address

2202 Jordan Road SW
Suite 500
Fort Payne, AL 35968-3688
Phone (256) 844-2825

Other identifiers 5

IdentifierTypeStateIssuer
051558061MedicaidAL
510-03925OtherALBCBS
541385610MedicaidAL
051557585MedicaidAL
510-03714OtherALBCBS

Other names 1

  • Luz Jovita Torralba-Crystal Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
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
I20051006000330 AL Practitioner - Internal MedicinePractitioner - Emergency Medicine 4183649445 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Emergency Medicine
Education
Other, 1978
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ess of Eufaula, LLCGroup PAC ID 0840677456, 7 clinicians
Newgen Alabama Billing LLCGroup PAC ID 9133657208, 99 clinicians

Practice addresses (Care Compare)

200 Medical Ctr Dr SW
Fort Payne, AL 35968-3458
Phone (256) 845-3150

Hospital & facility affiliations

  • Dekalb Regional Medical Center Hospital, Fort Payne, AL, CCN 010012

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
00018535ALMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Newgen Alabama Billing LLC CurrentSince Jan 18, 2026 Accepting new patients
Ess of Eufaula, LLC CurrentSince Apr 24, 2024 Accepting new patients
Southern Medical Group, Inc Past Accepting new patients
Fort Payne Hospital Organization Past Accepting new patients

Locations

820 W Washington St
Eufaula, AL 36027
Phone (334) 687-5761

200 Medical Center Dr SW
Fort Payne, AL 35968
Phone (256) 845-3150

126 Hospital Ave
Ozark, AL 36360
Phone (334) 445-4803

Organizations & group practices 5

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.

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1149811200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1350259200000",
    "number": "1972544153",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2202 JORDAN ROAD SW",
            "address_2": "SUITE 500",
            "city": "FORT PAYNE",
            "state": "AL",
            "postal_code": "359683688",
            "telephone_number": "256-844-2825",
            "fax_number": "256-844-2834"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2202 JORDAN ROAD SW",
            "address_2": "SUITE 500",
            "city": "FORT PAYNE",
            "state": "AL",
            "postal_code": "359683688",
            "telephone_number": "256-844-2825",
            "fax_number": "256-844-2834"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRYSTAL",
        "first_name": "LUZ",
        "middle_name": "JOVITA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-09",
        "last_updated": "2012-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AL",
            "license": "00018535",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "051558061",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "510-03925",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "541385610",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "051557585",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "510-03714",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LUZ",
            "last_name": "TORRALBA-CRYSTAL",
            "middle_name": "JOVITA",
            "credential": "M.D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Fort Payne, AL

Sources for this page

Verify at the official NPI Registry.