Individual provider Active NPI

Miguel Alfredo Castellan, M.D.

  • Pediatric Urology Physician
  • Miami, FL
National Provider Identifier
1013127471
Registry record updated Apr 25, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Urology PhysicianTaxonomy code 2088P0231X
License
ME110053 Issued in FL
Practice address
3200 SW 60TH CT Ste 104
Miami, FL 33155-4069
Phone
(305) 669-6448
Fax
(305) 663-8485
NPI assigned
May 23, 2007
Last updated
Apr 25, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 25, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Urology Physician 2088P0231X ME110053 FL Primary

Addresses

Primary practice location

3200 SW 60TH CT Ste 104
Miami, FL 33155-4069

Mailing address

PO Box 277279
Atlanta, GA 30384-7279
Phone (800) 243-3839

Other identifiers 2

IdentifierTypeStateIssuer
004142100MedicaidFL
HQ472ZOtherFLMEDICARE

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
I20131217001552 FL Practitioner - Urology 3678700788 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME110053FLMDPediatric Urology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
South Florida Pediatric Urology LLP Pediatric Urology CurrentSince Oct 4, 2025 Accepting new patients
Pediatrix Medical Group of Florida Inc Pediatric Urology Past Accepting new patients

Locations

9980 Central Park Blvd N
Ste 302
Boca Raton, FL 33428
Phone (561) 212-7022

3200 SW 60th Ct
Ste 104
Miami, FL 33155
Phone (786) 845-6634

1951 SW 172nd Ave
Ste 301
Miramar, FL 33029
Phone (954) 510-5454

1350 S Orlando Ave
Winter Park, FL 32789
Phone (407) 815-5437

Interoperability endpoints

  • Direct secure messaging: miguel.castellan.1@32200.direct.athenahealth.com

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1179878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1524614400000",
    "number": "1013127471",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 277279",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303847279",
            "telephone_number": "800-243-3839",
            "fax_number": "855-527-5510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3200 SW 60TH CT STE 104",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331554069",
            "telephone_number": "305-669-6448",
            "fax_number": "305-663-8485"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CASTELLAN",
        "first_name": "MIGUEL",
        "middle_name": "ALFREDO",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-23",
        "last_updated": "2018-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2088P0231X",
            "taxonomy_group": "",
            "desc": "Urology, Pediatric Urology",
            "state": "FL",
            "license": "ME110053",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004142100",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "HQ472Z",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.