NPIMap

Individual provider Active NPI

Crystal H Bastin, M.D.

  • Family Medicine Physician
  • South Charleston, WV
National Provider Identifier
1962453191
Registry record updated Jan 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
20368 Issued in WV
Practice address
4820 Kentucky St
South Charleston, WV 25309
Phone
(304) 720-0390
Fax
(304) 720-0391
NPI assigned
May 12, 2006
Last updated
Jan 13, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 20368 WV Primary

Addresses

Primary practice location

4820 Kentucky St
South Charleston, WV 25309

Mailing address

4605 Maccorkle Ave SW
THS Physician Partners, Inc. - Admin Ofc
South Charleston, WV 25309-1311
Phone (304) 414-4800

Other practice location 1

4605 MacCorkle Ave SW
South Charleston, WV 25309-1311
Phone (304) 414-4800

Other practice location 2

11924 Winfield Rd
Winfield, WV 25213-7913
Phone (304) 306-3060

Other names 1

  • Crystal Lea Heatherman Former name

Electronic endpoints 3

TypeEndpointUseAffiliation
Direct Messaging Address crystal.bastin@thomashealthsystem.direct-ci.com
Direct Messaging Address crystal.bastin@thomashealthsystem.direct-ci.com
Direct Messaging Address crystal.bastin@thomashealthsystem.direct-ci.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20091112000147 WV Practitioner - Family Practice 0749242428 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
West Virginia University School of Medicine, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
THS Physician Partners IncGroup PAC ID 9537316393, 366 clinicians

Practice addresses (Care Compare)

4820 Kentucky St
South Charleston, WV 25309-1310
Phone (304) 720-0390

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
95.34 of 100Reported as apm
Quality
79.86
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
THS Physician Partners Inc Family Medicine CurrentSince Jul 1, 2014 Accepting new patients
National Emergency Services West Virginia Inc Past Accepting new patients

Locations

L3539
Columbus, OH 43260
Phone (304) 414-4800

4605 Maccorkle Ave SW
South Charleston, WV 25309
Phone (304) 414-4800

4605 Maccorkle Ave SW
Ofc
South Charleston, WV 25309
Phone (304) 414-4800

4820 Kentucky St
South Charleston, WV 25309
Phone (304) 720-0390

11924 Winfield Rd
Winfield, WV 25213
Phone (304) 306-3060

Interoperability endpoints

  • Direct secure messaging: crystal.bastin@thomashealthsystem.direct-ci.com

Organizations & group practices 2

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

Hospital & facility affiliations 16

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1147392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642032000000",
    "number": "1962453191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4605 MACCORKLE AVE SW",
            "address_2": "THS PHYSICIAN PARTNERS, INC. - ADMIN OFC",
            "city": "SOUTH CHARLESTON",
            "state": "WV",
            "postal_code": "253091311",
            "telephone_number": "304-414-4800",
            "fax_number": "304-414-4801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4820 KENTUCKY ST",
            "city": "SOUTH CHARLESTON",
            "state": "WV",
            "postal_code": "25309",
            "telephone_number": "304-720-0390",
            "fax_number": "304-720-0391"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4605 MacCorkle Ave SW",
            "address_purpose": "LOCATION",
            "city": "South Charleston",
            "state": "WV",
            "postal_code": "253091311",
            "country_code": "US",
            "telephone_number": "304-414-4800",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "11924 Winfield Rd",
            "address_purpose": "LOCATION",
            "city": "Winfield",
            "state": "WV",
            "postal_code": "252137913",
            "country_code": "US",
            "telephone_number": "304-306-3060",
            "fax_number": "304-306-3061",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BASTIN",
        "first_name": "CRYSTAL",
        "middle_name": "H",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-12",
        "last_updated": "2022-01-13",
        "certification_date": "2022-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WV",
            "license": "20368",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "crystal.bastin@thomashealthsystem.direct-ci.com",
            "affiliation": "N",
            "address_1": "4820 Kentucky St",
            "city": "South Charleston",
            "state": "WV",
            "country_code": "US",
            "postal_code": "25309",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "crystal.bastin@thomashealthsystem.direct-ci.com",
            "affiliation": "N",
            "address_1": "4605 MacCorkle Ave SW",
            "city": "South Charleston",
            "state": "WV",
            "country_code": "US",
            "postal_code": "253091311",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "crystal.bastin@thomashealthsystem.direct-ci.com",
            "affiliation": "N",
            "address_1": "11924 Winfield Rd",
            "city": "Winfield",
            "state": "WV",
            "country_code": "US",
            "postal_code": "252137913",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "CRYSTAL",
            "last_name": "HEATHERMAN",
            "middle_name": "LEA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in South Charleston, WV

Sources for this page

Verify at the official NPI Registry.