Kelly Izsak, PAC

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

085002958 Issued in IL

Practice address

3333 Glendale Ave
Toledo, OH 43614-2426

Phone

(419) 383-5555

Fax

(419) 383-3113

NPI assigned

May 14, 2008

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in OH

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Merit-based Incentive Payment System (MIPS)

Final score

88.34 of 100Reported as group

Quality

69.17

Promoting interoperability

99

Improvement activities

40

Cost

75

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: kizsak25435@direct.utoledo.edu

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• University of Toledo Physicians LLC

  • Internal Medicine Physician
  • Toledo, OH
  • NPI 1942296033
  Medicare reassignment NPD
• Medical University of Ohio at Toledo

  • General Acute Care Hospital
  • Toledo, OH
  • NPI 1811971302
  NPD
• University of Toledo Physicians LLC

  • Anesthesiology Physician
  • Toledo, OH
  • NPI 1669005534
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1210723200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1575849600000",
    "number": "1275700635",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4510 DORR ST",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436154040",
            "telephone_number": "419-383-5555",
            "fax_number": "419-383-3113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3333 GLENDALE AVE",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436142426",
            "telephone_number": "419-383-5555",
            "fax_number": "419-383-3113"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IZSAK",
        "first_name": "KELLY",
        "name_prefix": "Ms.",
        "credential": "PAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-05-14",
        "last_updated": "2019-12-09",
        "certification_date": "2019-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "IL",
            "license": "085002958",
            "primary": true
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "OH",
            "license": "50.006113RX",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cameo Ivy
• Quianna Michelle Iwuagwu, RN
• Amogh I. Iyer
• Sasha Celeste Izbinski, L.P.N.
• Eugene Izsak, MD
• J C Pain Clinic Inc
• Eyad Jaara, MD
• Ziad Jaara, M.D.
• Georges T Jabaly, M.D.
• Hasan Jaber, MD

• Medical Physician Assistant in Toledo, OH
• Providers in Toledo, OH by specialty
• Medical Physician Assistant in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.