Individual provider Active NPI

Justin M Call, PA-C

  • Surgical Physician Assistant
  • Denver, CO
National Provider Identifier
1962718841
Registry record updated Jan 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
License
PA.0003389 Issued in CO
Practice address
1721 E 19TH Ave Ste 434
Denver, CO 80218-1242
Phone
(303) 865-7800
Fax
(303) 865-7804
NPI assigned
Aug 30, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 12, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Physician Assistant 363AS0400X 3389 CO
Surgical Physician Assistant 363AS0400X PA.0003389 CO Primary

Addresses

Primary practice location

1721 E 19TH Ave Ste 434
Denver, CO 80218-1242

Mailing address

4900 S Monaco St
Ste 210
Denver, CO 80237-3486
Phone (303) 865-7800

Other identifiers 1

IdentifierTypeStateIssuer
47724765MedicaidCO

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address JUSTIN.CALL@hca3.eclinicaldirectplus.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
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
I20120410000106 CO Practitioner - Physician Assistant 0648431114 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
3389COMDSurgical Physician Assistant
PA.0003389COMDSurgical Physician Assistant

Interoperability endpoints

  • Direct secure messaging: justin.call@hca3.eclinicaldirectplus.com

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1283126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641945600000",
    "number": "1962718841",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4900 S MONACO ST",
            "address_2": "STE 210",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802373486",
            "telephone_number": "303-865-7800",
            "fax_number": "303-865-7804"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1721 E 19TH AVE STE 434",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802181242",
            "telephone_number": "303-865-7800",
            "fax_number": "303-865-7804"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CALL",
        "first_name": "JUSTIN",
        "middle_name": "M",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-08-30",
        "last_updated": "2022-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "CO",
            "license": "3389",
            "primary": false
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "CO",
            "license": "PA.0003389",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "47724765",
            "state": "CO"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "JUSTIN.CALL@hca3.eclinicaldirectplus.com",
            "affiliation": "N",
            "address_1": "1721 E 19th Ave Ste 434",
            "city": "Denver",
            "state": "CO",
            "country_code": "US",
            "postal_code": "802181242",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Denver, CO

Sources for this page

Verify at the official NPI Registry.