DR. CRYSTAL ANTOINETTEE ROACH MD, MPH
NPI 1710507876
Obstetrics & Gynecology in Dundalk, MD

Active since April 19, 2020PECOS EnrolledAccepts Medicare Assignment
1576 MERRITT BLVD STE 16, DUNDALK, MD 21222(410) 650-2191 Get Directions Write a Review

NPPES record last updated: August 27, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Crystal Antoinettee Roach Md, Mph NPPES

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

DR. CRYSTAL ANTOINETTEE ROACH MD, MPH (NPI 1710507876) is an individual obstetrics & gynecology provider in Dundalk, Maryland, licensed in Maryland (D0101342) and active in the NPI registry since April 2020. She is enrolled in Medicare PECOS and is a graduate of Howard University College Of Medicine (2020).

NPPES Registry Identity

NPI1710507876
Entity TypeIndividualFemale
Primary Taxonomy207V00000X
Provider Legal NameDR. CRYSTAL ANTOINETTEE ROACHCredential: MD, MPH
Location Address1576 MERRITT BLVD STE 16Dundalk, MD 21222-2136
Mailing Address12520 Proxmire DrFort Washington, MD 20744-5231 · (410) 650-2191
Sole ProprietorNo
Medical School CMSHoward University College Of MedicineGraduated 2020
Enumeration DateApril 19, 2020
Last NPPES UpdateAugust 27, 2024
NPPES CertifiedAugust 27, 2024
✔ NPI 1710507876 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License✔ Licensed in MD · D0101342
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
1576 MERRITT BLVD STE 16, Dundalk, MD 21222

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Crystal Antoinettee Roach Md, Mph is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5597205229
PECOS Enrollment IDI20240909004706, I20260227000371
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

2

Medicare enrollment records show Crystal Roach reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

General Practice
5601 LOCH RAVEN BLVD, RUSSELL MORGAN BLDG 3RD FL
Baltimore, MD 21239
  • Reassigned Medicare billing, Maryland enrollment
  • 2,602 clinicians in this Medicare group
Obstetrics & Gynecology
8110 MAPLE LAWN BLVD STE 235
Fulton, MD 20759
  • Reassigned Medicare billing, District of Columbia enrollment
  • Medicare enrollment name: Capital Womens Care LLC
  • 186 clinicians in this Medicare group

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 21222 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$139.05 typical visit price
range $60.73 – $183.44
Typical copayment $34.76 (range $15.18 – $45.86)
Most-billed visit code 99204
Established Patient
$75.47 typical visit price
range $19.60 – $149.17
Typical copayment $18.86 (range $4.90 – $37.29)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Roach's NPI number?

The NPI number for Crystal Roach is 1710507876. It was assigned to this individual provider in the NPPES registry on April 19, 2020.

Where is Crystal Roach located?

Crystal Roach practices at 1576 Merritt Blvd Ste 16, Dundalk, MD 21222. The listed phone number is (410) 650-2191.

What is Crystal Roach's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Crystal Roach enrolled in Medicare?

Yes. Crystal Roach is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Crystal Roach's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Crystal Roach reassigns Medicare benefits to 2 organizations: Medstar Medical Group II LLC (Baltimore, MD) and Capital Women's Care, L.L.C. (Fulton, MD). Each 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 Crystal Roach's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Crystal Roach was last updated on August 27, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.