Individual provider Active NPI

Andrew L McCall, D.P.M. P.A.

  • Podiatrist
  • Idaho Falls, ID
National Provider Identifier
1225065246
Registry record updated Jun 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
P190 Issued in ID
Practice address
2920 Cortez Ave
Idaho Falls, ID 83404-7554
Phone
(208) 529-0229
Fax
(888) 688-3439
NPI assigned
Jun 26, 2006
Last updated
Jun 24, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X P190 ID Primary

Addresses

Primary practice location

2920 Cortez Ave
Idaho Falls, ID 83404-7554

Mailing address

2920 Cortez Ave
Idaho Falls, ID 83404-7554
Phone (208) 529-0229

Other practice location 1

9 Sunbeam
unit D
Alpine, WY 83128
Phone (307) 686-5688

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ID
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050922000875 ID Practitioner - Podiatry 7517990229 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2920 Cortez Ave
Idaho Falls, ID 83404-7554
Phone (208) 529-0229

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10
Melanoma (skin cancer) excision1-10
Removal of tissue39
Removal of nail tissue138
Removal or shaving of skin growth1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
P190IDMDPodiatrist
00745IAMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Andrew L McCall DPM PA Podiatrist CurrentSince Jul 1, 2005 Accepting new patients

Locations

2920 Cortez Ave
Idaho Falls, ID 83404
Phone (208) 529-0229

Organizations & group practices 1

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 2

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

NPI Registry JSON

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

{
    "created_epoch": "1151280000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719187200000",
    "number": "1225065246",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2920 CORTEZ AVE",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "834047554",
            "telephone_number": "208-529-0229",
            "fax_number": "888-688-3439"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2920 CORTEZ AVE",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "834047554",
            "telephone_number": "208-529-0229",
            "fax_number": "888-688-3439"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9 Sunbeam",
            "address_2": "unit D",
            "address_purpose": "LOCATION",
            "city": "Alpine",
            "state": "WY",
            "postal_code": "83128",
            "country_code": "US",
            "telephone_number": "307-686-5688",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCCALL",
        "first_name": "ANDREW",
        "middle_name": "L",
        "credential": "D.P.M.  P.A.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-26",
        "last_updated": "2024-06-24",
        "certification_date": "2024-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "ID",
            "license": "P190",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Idaho Falls, ID

Sources for this page

Verify at the official NPI Registry.