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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

CRYSTAL KUCUK MACOMB DO
NPI 1881121655
Orthopaedic Surgery - Sports Medicine in Allentown, PA

Active since May 11, 2017PECOS Enrolled
1621 N CEDAR CREST BLVD, ALLENTOWN, PA 18104(610) 402-8900 Get Directions Write a Review

NPPES record last updated: September 4, 2026. Verified against the NPPES registry weekly; last sync: September 06, 2026.

Record update history: Sep 4, 2026, Sep 16, 2022, Oct 16, 2020 and 2 more (5 updates tracked since 2017).

About Crystal Kucuk Macomb Do NPPES

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

CRYSTAL KUCUK MACOMB DO (NPI 1881121655) is an individual sports medicine provider in Allentown, Pennsylvania, licensed in Pennsylvania (OS025775) and active in the NPI registry since May 2017. She is enrolled in Medicare PECOS and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1881121655
Entity TypeIndividualFemale
Primary Taxonomy207XX0005X
Provider Legal NameCRYSTAL KUCUK MACOMBCredential: DO
Location Address1621 N CEDAR CREST BLVDAllentown, PA 18104-2304
Mailing Address2100 Mack Blvd Fl 4Allentown, PA 18103-5622
Phone(610) 402-8900
Sole ProprietorNo
Enumeration DateMay 11, 2017
Last NPPES UpdateSeptember 4, 20265 updates tracked since enumeration
NPPES CertifiedSeptember 4, 2026
✔ NPI 1881121655 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyOrthopaedic Surgery · Sports MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207XX0005X
License✔ Licensed in PA · OS025775
Definition
An orthopaedic surgeon trained in sports medicine provides appropriate care for all structures of the musculoskeletal system directly affected by participation in sporting activity. This specialist is proficient in areas including conditioning, training and fitness, athletic performance and the impact of dietary supplements, pharmaceuticals, and nutrition on performance and health, coordination of care within the team setting utilizing other health care professionals, field evaluation and management, soft tissue biomechanics and injury healing and repair. Knowledge and understanding of the principles and techniques of rehabilitation, athletic equipment and orthotic devices enables the specialist to prevent and manage athletic injuries.
Also ListedFamily MedicineTaxonomy 207Q00000X · License 0102206099 (VA)
Also ListedFamily Medicine · Sports MedicineTaxonomy 207QS0010X · License 4621 (TN)
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
1621 N CEDAR CREST BLVD, Allentown, PA 18104
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Secondary Practice Locations 3

Location 1650 Joel DrFort Campbell, KY 42223-5318 · Phone (270) 798-8400
Location 23650 Joseph Siewick Dr Ste 400Fairfax, VA 22033-1715 · Phone (703) 391-2020
Location 3501 W 14th StWilmington, DE 19801-1013 · Phone (302) 733-1000

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Crystal Kucuk Macomb Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Other Providers at the Same Location NPPES 16

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

CLARE SCHOEN
Occupational Therapist
1621 N CEDAR CREST BLVD
ALLENTOWN, PA 18104
Lehigh County (610) 861-8080
LEHIGH VALLEY SPECIALTY PHYSICIAN GROUP
Podiatrist
1621 N CEDAR CREST BLVD
ALLENTOWN, PA 18104
Lehigh County (610) 402-8900
MELISSA LINN KNECHT P.A.-C.
Physician Assistant
1621 N CEDAR CREST BLVD
ALLENTOWN, PA 18104
Lehigh County (610) 402-8900
KIRSTEN MAYHEW
Physical Therapist
1621 N CEDAR CREST BLVD
ALLENTOWN, PA 18104
Lehigh County (610) 861-8080
DR. THOMAS J. GRAHAM M.D.
Orthopaedic Surgery (Hand Surgery)
1621 N CEDAR CREST BLVD
ALLENTOWN, PA 18104
Lehigh County (610) 402-8900
TYLER JAMES TROBETSKY
Physician Assistant (Medical)
1621 N CEDAR CREST BLVD
ALLENTOWN, PA 18104
Lehigh County (610) 402-8900
LEHIGH VALLEY SPECIALTY PHYSICIAN GROUP
Chiropractor
1621 N CEDAR CREST BLVD
ALLENTOWN, PA 18104
Lehigh County (610) 861-8080
DANIEL CHARLES FARBER MD
Orthopaedic Surgery
1621 N CEDAR CREST BLVD
ALLENTOWN, PA 18104
Lehigh County (610) 402-8900

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 Macomb's NPI number?

The NPI number for Crystal Macomb is 1881121655. It was assigned to this individual provider in the NPPES registry on May 11, 2017.

Where is Crystal Macomb located?

Crystal Macomb practices at 1621 N Cedar Crest Blvd, Allentown, PA 18104. The listed phone number is (610) 402-8900.

What is Crystal Macomb's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Sports Medicine, with taxonomy code 207XX0005X.

Is Crystal Macomb enrolled in Medicare?

Yes. Crystal Macomb is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Crystal Macomb was last updated on September 4, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 days 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.