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MR. CALEB ANTHONY YOUNGBLOOD MMS, PA-C
NPI 1235366014
Physician Assistant - Medical in Berkley, MI

Active since June 18, 2009PECOS EnrolledAccepts Medicare Assignment
1964 W 11 MILE RD, BERKLEY, MI 48072(248) 544-9300 Get Directions Write a Review

NPPES record last updated: February 24, 2015. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mr. Caleb Anthony Youngblood Mms, Pa-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. CALEB ANTHONY YOUNGBLOOD MMS, PA-C (NPI 1235366014) is an individual medical provider in Berkley, Michigan, licensed in Michigan (5601006038) and active in the NPI registry since June 2009. He is enrolled in Medicare PECOS and is a graduate of Other (2006).

NPPES Registry Identity

NPI1235366014
Entity TypeIndividualMale
Primary Taxonomy363AM0700X
Provider Legal NameMR. CALEB ANTHONY YOUNGBLOODCredential: MMS, PA-C
Location Address1964 W 11 MILE RDBerkley, MI 48072-3046
Mailing Address1964 W 11 Mile RdBerkley, MI 48072-3046 · (248) 544-9300
Phone(248) 544-9300
Sole ProprietorYes
Medical School CMSOtherGraduated 2006
Enumeration DateJune 18, 2009
Last NPPES UpdateFebruary 24, 2015
✔ NPI 1235366014 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License✔ Licensed in MI · 5601006038
1964 W 11 MILE RD, Berkley, MI 48072
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, Priority Health.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mr. Caleb Anthony Youngblood Mms, Pa-c is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7416097506
PECOS Enrollment IDI20180108000097
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Referred Medical Equipment & Supplies CMS DME claims 4

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Lubricant, individual sterile packet, each A4332
DME-Medical/Surgical Supplies · category DA000N
1 supplier12 claims2,160 services$0.11 avg. paid by Medicare
Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each A4351
DME-Orthotic Devices · category DF008N
1 supplier12 claims2,160 services$1.73 avg. paid by Medicare
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg J7613
DME-Drugs Administered Through DME · category DG006N
2 suppliers11 claims3,073 services$0.03 avg. paid by Medicare
Pharmacy dispensing fee for inhalation drug(s); per 30 days Q0513
DME-Other DME · category DE000N
2 suppliers11 claims11 services$25.99 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MR. CHRISTOPHER DAVID PETRAT
Case Manager/Care Coordinator
1964 W 11 MILE RD
BERKLEY, MI 48072
Oakland County (248) 544-9300
MICHIGAN HEALTHCARE PROFESSIONALS PC
Clinical Medical Laboratory
1964 W 11 MILE RD
BERKLEY, MI 48072
Oakland County (248) 544-9300
MARK ROSEN PA-C
Physician Assistant (Medical)
1964 W 11 MILE RD
BERKLEY, MI 48072
Oakland County (248) 544-9300
RON T WILLIAMSON DDS AND ASSOCIATES PLC
Dentist
1964 W 11 MILE RD, SUITE 4
BERKLEY, MI 48072
Oakland County (248) 399-4455
GANESHJI INC
Pharmacy (Community/Retail Pharmacy)
1964 W 11 MILE RD
BERKLEY, MI 48072
Oakland County (248) 547-5100
CLIFFORD M BUCHMAN DO PC
Orthopaedic Surgery
1964 W 11 MILE RD
BERKLEY, MI 48072
Oakland County (248) 932-2280

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Caleb Youngblood's NPI number?

The NPI number for Caleb Youngblood is 1235366014. It was assigned to this individual provider in the NPPES registry on June 18, 2009.

Where is Caleb Youngblood located?

Caleb Youngblood practices at 1964 W 11 Mile Rd, Berkley, MI 48072. The listed phone number is (248) 544-9300.

What is Caleb Youngblood's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Caleb Youngblood enrolled in Medicare?

Yes. Caleb Youngblood is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Caleb Youngblood accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company and Priority Health list Caleb Youngblood as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Caleb Youngblood was last updated on February 24, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.