Individual provider Active NPI

James David McCall

  • Physician Assistant
  • Moscow, ID
National Provider Identifier
1801484613
Registry record updated Jul 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA-2087 Issued in ID
Practice address
2500 W a St Ste 101
Moscow, ID 83843-6000
Phone
(208) 882-0540
Fax
(208) 883-1853
NPI assigned
Jan 7, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 19, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA-2087 ID Primary

Addresses

Primary practice location

2500 W a St Ste 101
Moscow, ID 83843-6000

Mailing address

PO Box 8007
Moscow, ID 83843-0507
Phone (208) 883-2224

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: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210930003013 ID Practitioner - Physician Assistant 7911304191 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Gritman Medical Center IncGroup PAC ID 0941545784, 27 clinicians

Practice addresses (Care Compare)

2500 W a St
Suite 101
Moscow, ID 83843-6000
Phone (208) 882-0540

623 S Main St
Suite 1
Moscow, ID 83843-2983
Phone (208) 882-2011

Hospital & facility affiliations

  • Gritman Medical Center Hospital, Moscow, ID, CCN 131327

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Gritman Medical Center, Inc. Family Medicine CurrentSince Apr 1, 2024 Accepting new patients
Gritman Medical Center Inc. CurrentSince Sep 23, 2024 Accepting new patients

Locations

623 S Main St
Ste 1
Moscow, ID 83843
Phone (208) 882-2011

2500 W A St
Ste 101
Moscow, ID 83843
Phone (208) 882-0540

700 S Main St
Moscow, ID 83843
Phone (208) 746-7555

Interoperability endpoints

  • Direct secure messaging: james.mccall.p1@direct.kch.nextgenshare.com
  • Direct secure messaging: jmccall702964@direct.ochin.org

Organizations & group practices 4

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.

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": "1609977600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721347200000",
    "number": "1801484613",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8007",
            "city": "MOSCOW",
            "state": "ID",
            "postal_code": "838430507",
            "telephone_number": "208-883-2224"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 W A ST STE 101",
            "city": "MOSCOW",
            "state": "ID",
            "postal_code": "838436000",
            "telephone_number": "208-882-0540",
            "fax_number": "208-883-1853"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCALL",
        "first_name": "JAMES",
        "middle_name": "DAVID",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-01-07",
        "last_updated": "2024-07-19",
        "certification_date": "2024-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "ID",
            "license": "PA-2087",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Moscow, ID

Sources for this page

Verify at the official NPI Registry.