Individual provider Active NPI

Jaimee Lyn Castillo-Quek, M.D.

  • Obstetrics & Gynecology Physician
  • Kissimmee, FL
National Provider Identifier
1003278557
Registry record updated Oct 30, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
ME142377 Issued in FL
Practice address
805 E Oak St
Kissimmee, FL 34744-4576
Phone
(407) 933-0021
NPI assigned
Mar 23, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Obstetrics & Gynecology Physician 207V00000X ME142377 FL Primary

Addresses

Primary practice location

805 E Oak St
Kissimmee, FL 34744-4576

Mailing address

805 E Oak St Ste 1
Kissimmee, FL 34744-4576
Phone (407) 933-0021

Other practice location 1

4151 Hunters Park Ln
Orlando, FL 32837-3617
Phone (407) 933-0021

Other practice location 2

500 Rue De La Vie St
Baton Rouge, LA 70817-5127
Phone (225) 215-7432

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210520002100 FL Practitioner - Obstetrics/Gynecology 9931490588 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
University of Florida College of Medicine, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Alex Rojas MD LLCGroup PAC ID 4587725031, 4 clinicians

Practice addresses (Care Compare)

805 E Oak St
Suite 1
Kissimmee, FL 34744-4576
Phone (407) 933-0021

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Alex Rojas, M.D.,LLC CurrentSince May 10, 2021 Accepting new patients

Locations

805 E Oak St
Ste 1
Kissimmee, FL 34744
Phone (407) 933-0021

4151 Hunters Park Ln
Ste 116
Orlando, FL 32837
Phone (407) 483-0672

15820 Shaddock Dr
Ste 140
Winter Garden, FL 34787
Phone (407) 933-0021

Networks

  • Freedom Health HMO Network
  • Optimum HealthCare HMO Network

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/BIFGBA/Endpoint/BIFGBA

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": "1458691200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604016000000",
    "number": "1003278557",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "805 E OAK ST STE 1",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347444576",
            "telephone_number": "407-933-0021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "805 E OAK ST",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347444576",
            "telephone_number": "407-933-0021"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4151 Hunters Park Ln",
            "address_purpose": "LOCATION",
            "city": "Orlando",
            "state": "FL",
            "postal_code": "328373617",
            "country_code": "US",
            "telephone_number": "407-933-0021",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "500 Rue De La Vie St",
            "address_purpose": "LOCATION",
            "city": "Baton Rouge",
            "state": "LA",
            "postal_code": "708175127",
            "country_code": "US",
            "telephone_number": "225-215-7432",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CASTILLO-QUEK",
        "first_name": "JAIMEE",
        "middle_name": "LYN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-03-23",
        "last_updated": "2020-10-30",
        "certification_date": "2020-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "FL",
            "license": "ME142377",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kissimmee, FL

Sources for this page

Verify at the official NPI Registry.