Individual provider Active NPI

Caleb Markusic, PA-C

  • Physician Assistant
  • Youngstown, OH
National Provider Identifier
1538628607
Registry record updated Aug 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
50.006406RX Issued in OH
Practice address
7630 Southern Blvd
Youngstown, OH 44512-5633
Phone
(330) 729-8000
Fax
(330) 758-5362
NPI assigned
Mar 18, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 3, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 50.006406RX OH Primary
Medical Physician Assistant 363AM0700X 50.006406RX OH

Addresses

Primary practice location

7630 Southern Blvd
Youngstown, OH 44512-5633

Mailing address

100 Debartolo PL Ste 200
Youngstown, OH 44512-6095
Phone (330) 797-0070

Other identifiers 1

IdentifierTypeStateIssuer
0408920MedicaidOH

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200707003207 OH Practitioner - Physician Assistant 5193059483 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Meridian HealthcareGroup PAC ID 3779553995, 25 clinicians

Practice addresses (Care Compare)

527 N Meridian Rd
Youngstown, OH 44509-1227
Phone (330) 797-0070

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts, Physician Assistant

State licenses

LicenseStateTypeSpecialty
50.006406RXOHMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Meridian Healthcare CurrentSince Jan 25, 2022 Accepting new patients
Hometown Urgent Care of Michigan, PC CurrentSince Nov 1, 2021 Accepting new patients
Hometown Urgent Care of Michigan, P.C. CurrentSince Nov 1, 2021 Accepting new patients
Meridian Healthcare CurrentSince Jan 25, 2022 Accepting new patients
Triad Health Services, LLC Physician Assistant PastSince Jun 11, 2023 Accepting new patients

Locations

6210 Brandt Pike
Huber Heights, OH 45424
Phone (937) 236-8630

1301 W 1st St
Springfield, OH 45504
Phone (937) 271-0066

320 High St NE
Warren, OH 44481
Phone (330) 394-9090

1997 Niles Cortland Rd SE
Warren, OH 44484
Phone (330) 505-9400

8255 South Ave
Youngstown, OH 44512
Phone (330) 318-3830

527 N Meridian Rd
Youngstown, OH 44509
Phone (330) 797-0074

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1552867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785715200000",
    "number": "1538628607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 DEBARTOLO PL STE 200",
            "city": "YOUNGSTOWN",
            "state": "OH",
            "postal_code": "445126095",
            "telephone_number": "330-797-0070",
            "fax_number": "330-729-8084"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7630 SOUTHERN BLVD",
            "city": "YOUNGSTOWN",
            "state": "OH",
            "postal_code": "445125633",
            "telephone_number": "330-729-8000",
            "fax_number": "330-758-5362"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARKUSIC",
        "first_name": "CALEB",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-03-18",
        "last_updated": "2026-08-03",
        "certification_date": "2026-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "OH",
            "license": "50.006406RX",
            "primary": true
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "OH",
            "license": "50.006406RX",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0408920",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Youngstown, OH

Sources for this page

Verify at the official NPI Registry.