Active NPI
Luz Jovita Crystal, MD
- Internal Medicine Physician
- Fort Payne, AL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 00018535
- 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
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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 051558061 | Medicaid | AL | |
| 510-03925 | Other | AL | BCBS |
| 541385610 | Medicaid | AL | |
| 051557585 | Medicaid | AL | |
| 510-03714 | Other | AL | BCBS |
Other names 1
- Luz Jovita Torralba-Crystal
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 1978
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 00018535 | AL | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Newgen Alabama Billing LLC | Current | Accepting new patients | |
| Ess of Eufaula, LLC | Current | 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.
-
- Emergency Medicine Physician
- Eufaula, AL
- NPI 1013650456
-
- Emergency Medicine Physician
- Ozark, AL
- NPI 1013744424
-
- Internal Medicine Physician
- Fort Payne, AL
- NPI 1396764395
-
- Hospitalist Physician
- Fort Payne, AL
- NPI 1083663579
-
- Emergency Medicine Physician
- Birmingham, AL
- NPI 1194736009
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Fort Payne, AL
- NPI 1770344665
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 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.