CALEB BOOTH PA NPI 1962947507

NPI Information

  • NPI: 1962947507
  • Provider Name: CALEB BOOTH, PA
  • Classification: Physician Assistant - 363AM0700X
  • Specialization: Medical
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 1215 LEE ST
    CHARLOTTESVILLE, VA
    ZIP 22908
  • Phone: (434) 924-9400

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NPI Details

Caleb Booth, PA is a medical physician assistant in Charlottesville, VA with 9 years of experience. Caleb Booth, PA NPI is 1962947507. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: EMORY UNIVERSITY SCHOOL OF MEDICINE
Graduation Year:2016

The provider's business location address is:

1215 LEE ST
CHARLOTTESVILLE, VA
ZIP 22908-816
Phone: (434) 924-9400
Fax: (434) 982-1618

The NPI 1962947507 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 following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Use of a drug to induce depression of consciousness by physician performing a procedure (5 years or older), initial 15 minutes (HCPCS:99152)
  • Fluoroscopic guidance for insertion or removal of central vein access device (HCPCS:77001)
  • Ultrasonic guidance for blood vessel access (HCPCS:76937)
  • Removal of tunneled central venous tube (HCPCS:36589)
  • Insertion of central venous tube with port (5 years or older) (HCPCS:36561)
  • Insertion of tunneled central venous tube for infusion (5 years or older) (HCPCS:36558)
  • Insertion of tube for infusion with imaging guidance and review by radiologist, patient 5 years or older (HCPCS:36573)
  • Removal of central venous tube with port or pump (HCPCS:36590)

The enumeration date for this NPI number is 1/5/2017 and was last updated on 8/2/2021.

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 AssistantMedical0110006158VIRGINIAYes

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
11962947507MEDICAIDVIRGINIA

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: 3/30/2025

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