MS. KELLY IZSAK PAC
NPI 1275700635
Physician Assistant - Medical in Toledo, OH

Q: What is Kelly Izsak's NPI number?

The NPI number for Kelly Izsak is 1275700635. It was assigned to this individual provider in the NPPES registry on May 14, 2008.

Q: What is Kelly Izsak's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Q: When was this NPI record last updated?

The NPPES record for Kelly Izsak was last updated on December 9, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since May 14, 2008PECOS Enrolled

3333 GLENDALE AVE, TOLEDO, OH 43614(419) 383-5555(419) 383-3113 Get Directions Write a Review

NPPES record last updated: December 9, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

On this page

About Ms. Kelly Izsak Pac NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MS. KELLY IZSAK PAC (NPI 1275700635) is an individual medical provider in Toledo, Ohio, licensed in Illinois (085002958) and active in the NPI registry since May 2008. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1275700635

Entity TypeIndividualFemale

Primary Taxonomy363AM0700X

Provider Legal NameMS. KELLY IZSAKCredential: PAC

Location Address3333 GLENDALE AVEToledo, OH 43614-2426

Mailing Address4510 Dorr StToledo, OH 43615-4040 · (419) 383-5555 · Fax (419) 383-3113

Phone(419) 383-5555

Fax(419) 383-3113

Sole ProprietorNo

Enumeration DateMay 14, 2008

Last NPPES UpdateDecember 9, 2019

✔ NPI 1275700635 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AM0700X

Licenses✔ Licensed in IL · 085002958✔ Licensed in OH · 50.006113RX

3333 GLENDALE AVE, Toledo, OH 43614

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ms. Kelly Izsak Pac is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

RAMEEZ BHATTI MD

Family Medicine