CRYSTAL SMALLS-GONZALES PA
NPI 1689624843
Physician Assistant in Washington, DC

Q: What is Crystal Smalls-gonzales's NPI number?

The NPI number for Crystal Smalls-gonzales is 1689624843. It was assigned to this individual provider in the NPPES registry on May 10, 2006.

Q: What is Crystal Smalls-gonzales's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Active since May 10, 2006PECOS Enrolled

1310 SOUTHERN AVE SE, WASHINGTON, DC 20032(202) 574-6000 Get Directions Write a Review

NPPES record last updated: October 5, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Crystal Smalls-gonzales Pa NPPES

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

CRYSTAL SMALLS-GONZALES PA (NPI 1689624843) is an individual physician assistant in Washington, District Of Columbia, licensed in District Of Columbia (PA149) and active in the NPI registry since May 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1689624843

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameCRYSTAL SMALLS-GONZALESCredential: PA

Location Address1310 SOUTHERN AVE SEWashington, DC 20032-4699

Mailing Address6534 Christmas Tree LnHuntingtown, MD 20639-3211 · (301) 787-8718

Phone(202) 574-6000

Sole ProprietorNo

Enumeration DateMay 10, 2006

Last NPPES UpdateOctober 5, 2007

✔ NPI 1689624843 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

License✔ Licensed in DC · PA149

Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

1310 SOUTHERN AVE SE, Washington, DC 20032

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Other Identifiers 2

Medicare UPINS68833

Medicare PIN019624A50DC

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Crystal Smalls-gonzales Pa 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 20032 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$100.31 typical visit price

range $65.18 – $194.86

Typical copayment $25.07 (range $16.29 – $48.71)

Most-billed visit code 99203

Established Patient

$80.66 typical visit price

range $21.40 – $158.88

Typical copayment $20.16 (range $5.35 – $39.72)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

BREATHE DC, INC.

Public Health or Welfare

1310 SOUTHERN AVE SE, SUITE G-082
WASHINGTON, DC 20032

District of Columbia (202) 574-6789

JEROME ALAIN BYAM

Surgery