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CRYSTAL MEDICAL CARE,P.C.
NPI 1689972317
Internal Medicine in Woodside, NY

Active since March 03, 2011
6914 41ST AVE, STE C1, WOODSIDE, NY 11377(718) 803-6300(718) 803-2434 Get Directions Write a Review

NPPES record last updated: April 25, 2017. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Crystal Medical Care,p.c. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CRYSTAL MEDICAL CARE,P.C. (NPI 1689972317) is a healthcare organization registered as an internal medicine in Woodside, New York and active in the NPI registry since March 2011. The organization lists Vishwanath Valagerehally Puttaswamygowda, President, as its authorized official.

NPPES Registry Identity

NPI1689972317
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameCRYSTAL MEDICAL CARE,P.C.
Location Address6914 41ST AVE, STE C1Woodside, NY 11377-4028
Mailing Address6914 41st Ave, Ste C1Woodside, NY 11377-4028 · (718) 803-6300 · Fax (718) 803-2434
Phone(718) 803-6300
Fax(718) 803-2434
Organization SubpartNo
Authorized OfficialVishwanath Valagerehally PuttaswamygowdaPresident · (718) 803-6300
Enumeration DateMarch 3, 2011
Last NPPES UpdateApril 25, 2017
✔ NPI 1689972317 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in NY · 223041
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
6914 41ST AVE, Woodside, NY 11377
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Other Identifiers 1

Medicaid03260455NY

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Crystal Medical Care,p.c. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Crystal Medical Care,p.C., which bills Medicare for the services this clinician delivers.

Clinician (1)

Vishwanath Puttaswamygowda, MD
Internal Medicine
NPI 1710118435
6914 41 ST AVE UNIT C1
Woodside, NY 11377
(718) 308-6918
✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Crystal Medical Care,p.C.'s NPI number?

The NPI number for Crystal Medical Care,p.C. is 1689972317. It was assigned to this organization in the NPPES registry on March 3, 2011.

Where is Crystal Medical Care,p.C. located?

Crystal Medical Care,p.C. is located at 6914 41st Ave Ste C1, Woodside, NY 11377. The listed phone number is (718) 803-6300.

What is Crystal Medical Care,p.C.'s specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Crystal Medical Care,p.C. enrolled in Medicare?

Yes. Crystal Medical Care,p.C. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Crystal Medical Care,p.C.?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Internal Medicine) reassigns their Medicare billing to Crystal Medical Care,p.C.. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Crystal Medical Care,p.C. was last updated on April 25, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.