CRYSTAL NWANNUNU (MD) – Dermatology Physician, NPI 1669092045
Dermatology Physician
Main info
Doctor Profile
Contacts
Profile Insights
NPPES metrics only — not quality of care.
410 DERMATOLOGY in GA
Provider Addresses for CRYSTAL NWANNUNU (MD)
8611 STRATHMORE DR
DALLAS, TX 752383851
Phone: (469) 358-0955
Type: Mailing
720 WESTVIEW DR SW
ATLANTA, GA 303101458
Phone: (404) 752-1000
Type: Location
7000 FANNIN ST
HOUSTON, TX 770305400
Phone: (469) 358-0955
Type: Mailing
24560 SOUTHPOINT DR
ALDIE, VA 201053510
Phone: (214) 553-0017
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 33 Open Payments records for all available years, with a total value of $1,787.
Total Amount is formed as General ($1,787) + Research ($0) + Ownership ($0) = $1,787.
Last reported payment date: 2024-12-10 • Largest payer in this snapshot: Janssen Biotech, Inc. ($289).
Total Amount
$1,787
General + Research + Ownership
Payments
33
Total payment records
General Amount
$1,787
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-10
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Janssen Biotech, Inc. | $289 |
| ABBVIE INC. | $273 |
| PFIZER INC. | $233 |
| UCB, Inc. | $151 |
| E.R. Squibb & Sons, L.L.C. | $147 |
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: 2024-08-23
PECOS data refreshed: 2026-06-15
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20240823001855 | I | Dermatology | DC | TBD |
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.
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 75238)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| P A T H O L O G Y | MD | |
| D E R M A T O L O G Y | PA | |
| D E R M A T O L O G Y | DC | |
| D E R M A T O L O G Y | TX | |
| Physician Assistant | VA |
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