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NPISignal

Individual Healthcare Provider

Crystal Kucuk Macomb, DO

NPI Record: ActiveOrthopaedic Surgery — Sports Medicine
NPI1881121655
Allentown, Pennsylvania

Provider's NPPES record last updated: September 4, 2026

Overview

Entity Type
Individual Healthcare Provider
NPI
1881121655
Primary Specialty
Orthopaedic Surgery — Sports Medicine
Practice Location
Allentown, Pennsylvania
Sole Proprietor
No

Federal Screening

NPISignal checked this NPI against federal exclusion sources. Results below are based on the NPI number itself — an identifier match, not a name match.

List of Excluded Individuals/Entities (LEIE)

HHS Office of Inspector General

No potential match identified

No potential match was identified in NPISignal's indexed List of Excluded Individuals/Entities (LEIE) records as of 2026-09-10.

Source data
September 10, 2026
Records indexed
84,001
Screened
Sep 19, 2026, 8:33 AM UTC

This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.

SAM.gov Exclusions

U.S. General Services Administration

Not checked

SAM.gov Exclusions was not checked.

SAM.gov screening is not configured on this deployment. No SAM check has been performed.

Screened
Not checked

This is an NPI-based check only. NPISignal does not publish name-based exclusion matches on a provider profile. A shared or similar name is a lead that requires human review, not an identification, and this page is not the place to make one. Run a name-based screening below to see potential matches with the reasons for each.

This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.

Run a name-based screening

Searches OIG LEIE and SAM.gov by name and reviews every potential match.

Specialties & Taxonomies

  • Orthopaedic Surgery

    Sports Medicine

    Allopathic & Osteopathic Physicians

    Primary

    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.

    Taxonomy code 207XX0005X
  • Student in an Organized Health Care Education/Training Program

    Student, Health Care

    An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

    Taxonomy code 390200000X
  • Family Medicine

    Allopathic & Osteopathic Physicians

    Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

    Taxonomy code 207Q00000X
  • Family Medicine

    Sports Medicine

    Allopathic & Osteopathic Physicians

    A family medicine physician that is trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation, injuries (treatment and prevention and referral practice) and the role of exercise in promoting a healthy lifestyle are essential to the practice of sports medicine. The sports medicine physician requires special education to provide the knowledge to improve the health care of the individual engaged in physical exercise (sports) whether as an individual or in team participation.

    Taxonomy code 207QS0010X

Provider-Reported License Information

Orthopaedic Surgery (Pennsylvania)
OS025775
Family Medicine (Virginia)
0102206099
Family Medicine (Tennessee)
4621
License numbers are reported by the provider to NPPES and are not independently verified by NPISignal against any state licensing board. Confirm current license status directly with the issuing state board.

Practice Locations

Practice Location

1621 N Cedar Crest Blvd

Allentown, Pennsylvania 18104-2304

Phone: (610) 402-8900

Additional Practice Location

650 Joel Dr

Fort Campbell, Kentucky 42223-5318

Phone: (270) 798-8400

Additional Practice Location

3650 Joseph Siewick Dr Ste 400

Fairfax, Virginia 22033-1715

Phone: (703) 391-2020

Additional Practice Location

501 W 14th St

Wilmington, Delaware 19801-1013

Phone: (302) 733-1000

Record Information

Enumeration Date
May 11, 2017
Provider's NPPES Record Last Updated
September 4, 2026
Certification Date
September 4, 2026
NPISignal NPPES Dataset
August 2026

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