CMS-1500 Box 24J / 33a • NPI
1760424972
Type 1 Individual Rendering/Ordering
HIPAA NUCC Taxonomy • CMS Code
363A00000X (CMS 97)
Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Physician Assistant
Box 32 Service Location & ZIP+4
129 W BROWN ST, BEAVERTON, MI, 48612-8119
✓ 9-Digit EDI 837 ZIP+4 (48612-8119)
⚠️ HHS OIG LEIE FEDERAL EXCLUSION ALERT:
NPI
1760424972 matches an active entry in the HHS Office of Inspector General List of Excluded Individuals/Entities (Sec. 1128(a)(1) — Conviction of Program-Related Crimes (Mandatory 5-Yr Min) — Effective 2025-06-19). Verify before submitting Medicare/Medicaid claims.
CMS Medicare Order & Referring PECOS Eligibility
Official CMS NPPES Credential & Practice Profile
| 10-Digit NPI Number | 1760424972 (NPI-1 Individual Practitioner) |
|---|---|
| Provider / Legal Name | RICHARD A CALL, PA-C |
| Plain-English Specialty | Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Physician Assistant NUCC Code: 363A00000X (Physician Assistant) |
| Certifying / Licensing Body | State Medical / Healthcare Licensing Board & National Specialty Board |
| Practice Location Address | 129 W BROWN ST, BEAVERTON, MI, 48612-8119 |
| Practice Telephone / Fax | Tel: (989) 435-2937 | Fax: (989) 435-3121 |
| Administrative Mailing Address | 1003 WOODSIDE AVE, ESSEXVILLE, MI, 48732-1234 |
| Enumeration & Last Sync | Enumerated: 2006-06-12 | CMS Record Updated: 2013-09-23 |
Clinic Location, Accessibility & Directions
📍 Practice Location & Patient Access
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Plain-English Taxonomy & CMS Crosswalk (363A00000X)
What Does Taxonomy Code 363A00000X Mean?
In the HIPAA National Uniform Claim Committee (NUCC) classification, code 363A00000X translates to:
"Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Physician Assistant"
Specialty Clinical Procedures & Therapeutic Classes
Standard Scope of Care (RICHARD A CALL, PA-C)
Typical CPT / Diagnostic Procedures:- Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
- Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
- Preventive Screening, Patient Counseling & Multidisciplinary Referral
- Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)
All Registered NUCC Taxonomies & State Licenses
| Taxonomy Code & Plain-English Description | State License & Primary Status |
|---|---|
363A00000X — Physician AssistantPlain English: Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Physician Assistant | State: MI | License: 5601004029 | Primary: Yes (Primary) |
Medical Billing, RCM & Hospital Credentialing Teams:
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