DR. MICHAEL JOHN KACAL PA-C NPI 1669443727

NPI Information

  • NPI: 1669443727
  • Provider Name: DR. MICHAEL JOHN KACAL, PA-C
  • Classification: Physician Assistant - 363AM0700X
  • Specialization: Medical
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 6001 34TH ST SPC 164
    LUBBOCK, TX
    ZIP 79407
  • Phone: (817) 219-0148

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NPI Details

DR. Michael John Kacal, PA-C is a medical physician assistant in Lubbock, TX. DR. Michael John Kacal, PA-C NPI is 1669443727. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

6001 34TH ST SPC 164
LUBBOCK, TX
ZIP 79407-106
Phone: (817) 219-0148

The NPI 1669443727 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 1/27/2006 and was last updated on 2/15/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363AM0700XPhysician AssistantMedicalPA03371TEXASYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
19B847AOTHERTEXASHEALTHSMART PPO
22242884OTHERTEXASUNITEDHEALTHCARE
3P00137141OTHERTEXASMEDICARE RAILROAD
48N4110OTHERTEXASBC/BS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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