Michael John Kacal, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

PA03371 Issued in TX

Practice address

6001 34TH St SPC 164
Lubbock, TX 79407-3106

Phone

(817) 219-0148

NPI assigned

Jan 27, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Enrolled in TX

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

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

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.

• Michael J Kacal PC

  • Physician Assistant
  • Beasley, TX
  • NPI 1467810382
  NPD Authorized official
• Odette Louise Campbell MD PA

  dba North Texas Medical Specialists

  • Family Medicine Physician
  • Plano, TX
  • NPI 1366750325
  Medicare reassignment
• Midland Complete Family Care and Associates

  • Medical Physician Assistant
  • Midland, TX
  • NPI 1538171616
  NPD (past) Authorized official
• Midland Complete Family Care and Associates

  • Medical Physician Assistant
  • Midland, TX
  • NPI 1548312465
  NPD (past)
• Molina Medical Housecall Services, P.a.

  dba US Medical Housecall Services, P.a.

  • Family Medicine Physician
  • Irving, TX
  • NPI 1194826487
  NPD (past)

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

{
    "created_epoch": "1138320000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707955200000",
    "number": "1669443727",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6001 34TH ST SPC 164",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794073106",
            "telephone_number": "817-219-0148"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6001 34TH ST SPC 164",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794073106",
            "telephone_number": "817-219-0148"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KACAL",
        "first_name": "MICHAEL",
        "middle_name": "JOHN",
        "name_prefix": "Dr.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-27",
        "last_updated": "2024-02-15",
        "certification_date": "2024-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "TX",
            "license": "PA03371",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHSMART PPO",
            "identifier": "9B847A",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITEDHEALTHCARE",
            "identifier": "2242884",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "P00137141",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS",
            "identifier": "8N4110",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Andrew Jung
• Brett Shane Jungman, D.C.
• Cameron A Jurica
• Amy Justice, FNP-C
• Justin McCarthy, M.D., P.a.
• Srinivas P Kadiyala, MD
• Chanaka Nadeeshan Kahathuduwa, MD PHD
• Kaiser Tarafdar, M.D., P.a.
• Kulia Kini Kakarala, MD
• Garima Kala, D.D.S.

• Medical Physician Assistant in Lubbock, TX
• Providers in Lubbock, TX by specialty
• Medical Physician Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.