DR. CRYSTAL FIALOVA LUMI (MD) – Surgery Physician, NPI 1215969902

DR. CRYSTAL FIALOVA LUMI (MD) is a healthcare provider. based in Maple grove, Minnesota. specializing in GENERAL SURGERY. They hold the professional credentials MD. They hold a License No. 39691 (MN). The NPI Number for DR. CRYSTAL FIALOVA LUMI (MD) is 1215969902

Main info

Female
Sole Proprietor
34 Years Of Experience
Accepts Medicare Assignment
Name
DR. CRYSTAL FIALOVA LUMI (MD)
NPI
1215969902
Phone
(931) 237-2265
Address
15552 68TH PL N
Enumeration Date
6 July 2006
Last Update Date
19 November 2015

Doctor Profile

Medical School Name
UNIVERSITY OF MINNESOTA MEDICAL SCHOOL
Secondary Phone
6086476321
Graduation Year
1992 (34 years ago)
PAC ID
0547160210
Group Practice PAC ID
7618861618
Professional Enrollment ID
I20210525000579
Address ID
WI535811914RI333XXSTXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience78
Completeness75
Years active:19State licenses:5Digital endpointsOther names

730 GENERAL SURGERY in MN

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Provider Addresses for DR. CRYSTAL FIALOVA LUMI (MD)

  • 15552, 68th Place North, Maple Grove, Hennepin County, Minnesota, 55311, United States

    MAPLE GROVE, MN 553113291

    Phone: (931) 237-2265

    Fax: (612) 594-8998

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 3 Open Payments records for all available years, with a total value of $66.

Total Amount is formed as General ($66) + Research ($0) + Ownership ($0) = $66.

Last reported payment date: 2024-07-17 • Largest payer in this snapshot: Anika Therapeutics, Inc. ($35).

Total Amount

$66

General + Research + Ownership

Payments

3

Total payment records

General Amount

$66

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-07-17

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2021-05-25

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20210525000579IGeneral SurgeryWITBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 55311)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 7618861618View full group profile
NameSpecialtyState
-WI
Diagnostic RadiologyWI
General SurgeryWI
Certified Registered Nurse Anesthetist (Crna)IL
-WI
-WI
Certified Registered Nurse Anesthetist (Crna)WI
Diagnostic RadiologyWI
Family PracticeWI
-WI

Reviews

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Frequently asked questions

Is there an official ID for DR. CRYSTAL FIALOVA LUMI (MD) in U.S. healthcare records?
The official identifier for DR. CRYSTAL FIALOVA LUMI (MD) is NPI 1215969902.
Is DR. CRYSTAL FIALOVA LUMI (MD) still an active registrant?
DR. CRYSTAL FIALOVA LUMI (MD) carries an active NPI according to the public dataset.
What clinical focus is listed for DR. CRYSTAL FIALOVA LUMI (MD)?
At a glance, DR. CRYSTAL FIALOVA LUMI (MD) is tied to Surgery Physician. Clinical services aligned with this taxonomy classification.
Is DR. CRYSTAL FIALOVA LUMI (MD) located near Maple Grove?
DR. CRYSTAL FIALOVA LUMI (MD) currently maps to Maple Grove, Minnesota in this extract.
Does DR. CRYSTAL FIALOVA LUMI (MD) accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.