MR. CALEB ANTHONY YOUNGBLOOD (MMS, PA-C) – Medical Physician Assistant, NPI 1235366014

MR. CALEB ANTHONY YOUNGBLOOD (MMS, PA-C) is a healthcare provider. based in Berkley, Michigan. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials MMS, PA-C. They hold a License No. 5601006038 (MI). The NPI Number for MR. CALEB ANTHONY YOUNGBLOOD (MMS, PA-C) is 1235366014

Main info

Male
Sole Proprietor
20 Years Of Experience
Accepts Medicare Assignment
Name
MR. CALEB ANTHONY YOUNGBLOOD (MMS, PA-C)
NPI
1235366014
Phone
(248) 544-9300
Address
1964 W 11 MILE RD
Enumeration Date
18 June 2009
Last Update Date
24 February 2015

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2484770552
Graduation Year
2006 (20 years ago)
PAC ID
7416097506
Group Practice PAC ID
0345413258
Professional Enrollment ID
I20180108000097
Address ID
MI483365965FA27900AVEX403
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience46
Completeness75
Years active:16State licenses:1Digital endpointsOther names

6,066 PHYSICIAN ASSISTANT in MI

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Provider Addresses for MR. CALEB ANTHONY YOUNGBLOOD (MMS, PA-C)

  • 1964, West 11 Mile Road, Berkley, Oakland County, Michigan, 48072, United States

    BERKLEY, MI 480723046

    Phone: (248) 544-9300

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 594 Open Payments records for all available years, with a total value of $83,917.

Total Amount is formed as General ($83,917) + Research ($0) + Ownership ($0) = $83,917.

Last reported payment date: 2024-12-19 • Largest payer in this snapshot: Gilead Sciences, Inc. ($51,238).

Total Amount

$83,917

General + Research + Ownership

Payments

594

Total payment records

General Amount

$83,917

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-19

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2018-01-08

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20180108000097IPhysician AssistantMITBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 48072)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 0345413258View full group profile
NameSpecialtyState
Cardiovascular Disease (Cardiology)MI
-MI
-MI
-MI
Internal MedicineMI
Otolaryngology, Plastic And Reconstructive SurgeryMI
Medical Oncology, Internal MedicineMI
-MI
-AE
Pediatric MedicineMI

Reviews

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Frequently asked questions

What is the 10-digit NPI for MR. CALEB ANTHONY YOUNGBLOOD (MMS, PA-C)?
MR. CALEB ANTHONY YOUNGBLOOD (MMS, PA-C) — NPI 1235366014 — is the standard way to identify this listing.
Does CMS list MR. CALEB ANTHONY YOUNGBLOOD (MMS, PA-C) as active?
Yes — MR. CALEB ANTHONY YOUNGBLOOD (MMS, PA-C) is active in the NPI listing used on this page.
What is MR. CALEB ANTHONY YOUNGBLOOD (MMS, PA-C) best known for clinically?
Directory data describes MR. CALEB ANTHONY YOUNGBLOOD (MMS, PA-C) with Medical Physician Assistant. Clinical services aligned with this taxonomy classification.
What area does MR. CALEB ANTHONY YOUNGBLOOD (MMS, PA-C) serve?
MR. CALEB ANTHONY YOUNGBLOOD (MMS, PA-C)'s listing highlights Berkley, Michigan; more addresses can appear in NPPES.
Is the information about MR. CALEB ANTHONY YOUNGBLOOD (MMS, PA-C) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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