Individual provider Active NPI

Carlos Hernando Moreno Castaneda, MD, FASN

  • Nephrology Physician
  • Apopka, FL
National Provider Identifier
1013325752
Registry record updated May 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
ME149425 Issued in FL
Practice address
201 N Park Ave Ste 206
Apopka, FL 32703-4147
Phone
(407) 515-2290
Fax
(407) 309-5457
NPI assigned
Jul 25, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 10, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X A152634 CA
Nephrology Physician 207RN0300X A152634 CA
Nephrology Physician 207RN0300X ME149425 FL Primary

Addresses

Primary practice location

201 N Park Ave Ste 206
Apopka, FL 32703-4147

Mailing address

807 S Orlando Ave Ste C
Winter Park, FL 32789-4870
Phone (407) 515-2211

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
I20210824002445 FL Practitioner - Nephrology 3577812775 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nephrology
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Nephrology Associates of Central Florida, P.a.Group PAC ID 2567359375, 34 clinicians

Practice addresses (Care Compare)

2501 N Orange Ave
Suite 537N
Orlando, FL 32804-4674
Phone (407) 894-4693

Hospital & facility affiliations

  • DaVita Clermont Dialysis Dialysis facility, Clermont, FL, CCN 682669
  • DaVita Winter Garden Dialysis Dialysis facility, Winter Garden, FL, CCN 102880
  • Adventhealth Orlando Hospital, Orlando, FL, CCN 100007
  • Orlando Health South Lake Hospital Hospital, Clermont, FL, CCN 100051
  • Orlando Health Hospital, Orlando, FL, CCN 100006
  • Orlando Health-Health Central Hospital Hospital, Ocoee, FL, CCN 100030
  • Pam Health Rehabilitation Hospital of Tavares Inpatient rehabilitation facility, Tavares, FL, CCN 103056

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A152634CAMDNephrology Physician
ME149425FLMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Nephrology Associates of Central Florida, P.a. Nephrology CurrentSince Sep 1, 2021 Accepting new patients
Renal Access of Central Florida LLC Nephrology PastSince Jun 22, 2021 Accepting new patients

Locations

201 N Park Ave
Ste 206
Apopka, FL 32703
Phone (321) 214-4133

2501 N Orange Ave
Ste 537N
Orlando, FL 32804
Phone (407) 894-4693

807 S Orlando Ave
Ste C
Winter Park, FL 32789
Phone (407) 894-4693

Networks

  • devoted network organization-14bfd35d-d818-4696-813b-340339e464ef
  • Freedom Health HMO Network
  • FL HMO C-SNP
  • FL HMO D-SNP
  • FL HMO
  • devoted network organization-d5084670-562f-408b-b100-22a1a4ef4d82
  • AL HMO
  • devoted network organization-25ba88d3-d0a6-4213-84f1-eef6f2b59f68
  • Optimum HealthCare HMO Network
  • FL PPO
  • AL HMO D-SNP

Interoperability endpoints

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

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 and National Provider Directory roles.

Hospital & facility affiliations 8

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1406246400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652140800000",
    "number": "1013325752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "807 S ORLANDO AVE STE C",
            "city": "WINTER PARK",
            "state": "FL",
            "postal_code": "327894870",
            "telephone_number": "407-515-2211",
            "fax_number": "407-309-5412"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 N PARK AVE STE 206",
            "city": "APOPKA",
            "state": "FL",
            "postal_code": "327034147",
            "telephone_number": "407-515-2290",
            "fax_number": "407-309-5457"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORENO CASTANEDA",
        "first_name": "CARLOS",
        "middle_name": "HERNANDO",
        "credential": "MD, FASN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-07-25",
        "last_updated": "2022-05-10",
        "certification_date": "2022-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A152634",
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "CA",
            "license": "A152634",
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "FL",
            "license": "ME149425",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Apopka, FL

Sources for this page

Verify at the official NPI Registry.