Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

CRYSTAL L ISLAM PA-C
NPI 1710453816
Physician Assistant in Columbus, OH

Q: What is Crystal Islam's NPI number?

The NPI number for Crystal Islam is 1710453816. It was assigned to this individual provider in the NPPES registry on October 17, 2018.

Q: What is Crystal Islam's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Crystal Islam was last updated on June 24, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 57 days 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 October 17, 2018PECOS EnrolledAccepts Medicare Assignment

452 W 10TH AVE, COLUMBUS, OH 43210(614) 293-8536(614) 293-8902 Get Directions Write a Review

NPPES record last updated: June 24, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Feb 28, 2019, Oct 17, 2018 (2 updates tracked since 2018).

On this page

About Crystal L Islam Pa-c NPPES

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

CRYSTAL L ISLAM PA-C (NPI 1710453816) is an individual physician assistant in Columbus, Ohio, licensed in Ohio (50.009630RX) and active in the NPI registry since October 2018. She is enrolled in Medicare PECOS, is affiliated with St Joseph's Hospital Health Center, and is a graduate of Other (2018).

NPPES Registry Identity

NPI1710453816

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameCRYSTAL L ISLAMCredential: PA-C

Location Address452 W 10TH AVEColumbus, OH 43210-1240

Mailing Address700 Ackerman Rd Ste 2120Columbus, OH 43202-1559 · (614) 293-8536 · Fax (614) 293-8902

Phone(614) 293-8536

Fax(614) 293-8902

Sole ProprietorNo

Medical School CMSOtherGraduated 2018

Enumeration DateOctober 17, 2018

Last NPPES UpdateJune 24, 20262 updates tracked since enumeration

NPPES CertifiedJune 24, 2026

✔ NPI 1710453816 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

Licenses✔ Licensed in OH · 50.009630RX✔ Licensed in NY · 022847

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.

452 W 10TH AVE, Columbus, OH 43210

Open in Google Maps ↗

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Crystal L Islam Pa-c is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7810235900

PECOS Enrollment IDI20190215000254

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.

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

63 services60 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

58 services54 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

36 services36 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

20 services20 patients

Hospital Affiliations CMS Care Compare 5

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

St Joseph's Hospital Health Center

Acute Care Hospitals · Syracuse, NY

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number330140

Location301 Prospect AvenueSyracuse, NY 13203 · Onondaga County

Emergency services Birthing friendly

Samaritan Medical Center

Acute Care Hospitals · Watertown, NY

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number330157

Location830 Washington StreetWatertown, NY 13601 · Jefferson County

Emergency services Birthing friendly

Guthrie Cortland Regional Medical Center

Acute Care Hospitals · Cortland, NY

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number330175

Location134 Homer AvenueCortland, NY 13045 · Cortland County

Emergency services Birthing friendly

Oswego Hospital

Acute Care Hospitals · Oswego, NY

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number330218

Location110 West Sixth StreetOswego, NY 13126 · Oswego County

Emergency services Birthing friendly

Cayuga Medical Center At Ithaca

Acute Care Hospitals · Ithaca, NY

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number330307

Location101 Dates DriveIthaca, NY 14850 · Tompkins County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 43210 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

$84.72 typical visit price

range $54.34 – $166.65

Typical copayment $21.18 (range $13.58 – $41.66)

Most-billed visit code 99203

Established Patient

$68.07 typical visit price

range $17.10 – $135.40

Typical copayment $17.01 (range $4.27 – $33.85)

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.

DR. KONSTANTINOS D BOUDOULAS M.D.

Internal Medicine (Interventional Cardiology)