1. Home
  2. Directory
  3. Maryland
  4. Baltimore
  5. Emergency Medicine
  6. NPI Profile

RAVEN CRUSCO MD
NPI 1710513718
Emergency Medicine in Baltimore, MD

Active since March 21, 2020PECOS EnrolledAccepts Medicare Assignment
110 S PACA ST FL 6, BALTIMORE, MD 21201(516) 302-7593 Get Directions Write a Review

NPPES record last updated: August 28, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Raven Crusco Md NPPES

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

RAVEN CRUSCO MD (NPI 1710513718) is an individual emergency medicine provider in Baltimore, Maryland, licensed in Arizona (76760) and active in the NPI registry since March 2020. She is enrolled in Medicare PECOS and is a graduate of Other (2020).

NPPES Registry Identity

NPI1710513718
Entity TypeIndividualFemale
Primary Taxonomy207P00000X
Provider Legal NameRAVEN CRUSCOCredential: MD
Location Address110 S PACA ST FL 6Baltimore, MD 21201-1645
Mailing Address110 S Paca St Fl 6Baltimore, MD 21201-1645
Phone(516) 302-7593
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateMarch 21, 2020
Last NPPES UpdateAugust 28, 2025
NPPES CertifiedAugust 28, 2025
✔ NPI 1710513718 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License✔ Licensed in AZ · 76760
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
110 S PACA ST FL 6, Baltimore, MD 21201
Open in Google Maps ↗

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Raven Crusco Md 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 ID5092210161
PECOS Enrollment IDI20250929000697
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 21201 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
$94.08 typical visit price
range $60.73 – $183.44
Typical copayment $23.52 (range $15.18 – $45.86)
Most-billed visit code 99203
Established Patient
$106.59 typical visit price
range $19.60 – $149.17
Typical copayment $26.64 (range $4.90 – $37.29)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. MICHELLE GHERT MD
Orthopaedic Surgery
110 S PACA ST FL 6
BALTIMORE, MD 21201
Baltimore City (614) 397-2721
BABETTE NEWMAN DO
Emergency Medicine
110 S PACA ST FL 6
BALTIMORE, MD 21201
Baltimore City (667) 214-2208
DR. AVA OMIDVAR MD
Student in an Organized Health Care Education/Training Program
110 S PACA ST FL 6
BALTIMORE, MD 21201
Baltimore City (667) 214-2208
SERGE MBIANDA TZEUTON MD
Student in an Organized Health Care Education/Training Program
110 S PACA ST FL 6
BALTIMORE, MD 21201
Baltimore City (410) 328-8915
RACHAEL MARIE LEE DO
Student in an Organized Health Care Education/Training Program
110 S PACA ST FL 6
BALTIMORE, MD 21201
Baltimore City (667) 214-2180
HEBA AL REBH M.D.
Emergency Medicine
110 S PACA ST FL 6, SUITE 200
BALTIMORE, MD 21201
Baltimore City (571) 201-9587
DR. MICHAEL GRAHAM LIVESEY MD
Student in an Organized Health Care Education/Training Program
110 S PACA ST FL 6
BALTIMORE, MD 21201
Baltimore City (410) 328-8915
DR. SALEM ALGHAMDI MD
Student in an Organized Health Care Education/Training Program
110 S PACA ST FL 6
BALTIMORE, MD 21201
Baltimore City (410) 328-8025

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 Raven Crusco's NPI number?

The NPI number for Raven Crusco is 1710513718. It was assigned to this individual provider in the NPPES registry on March 21, 2020.

Where is Raven Crusco located?

Raven Crusco practices at 110 S Paca St Fl 6, Baltimore, MD 21201. The listed phone number is (516) 302-7593.

What is Raven Crusco's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Raven Crusco enrolled in Medicare?

Yes. Raven Crusco 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.

When was this NPI record last updated?

The NPPES record for Raven Crusco was last updated on August 28, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months 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.