Individual provider Active NPI

David Castrilli, MD

  • Internal Medicine Physician
  • Chattanooga, TN
National Provider Identifier
1033477666
Registry record updated Sep 4, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
53373 Issued in TN
Practice address
1720 Gunbarrel Road
Suite 206
Chattanooga, TN 37421
Phone
(423) 648-8110
Fax
(423) 443-4297
NPI assigned
May 2, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 53373 TN Primary

Addresses

Primary practice location

1720 Gunbarrel Road
Suite 206
Chattanooga, TN 37421

Mailing address

1720 Gunbarrel Road
Suite 206
Chattanooga, TN 37421
Phone (423) 648-8110

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
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
I20150725012676 TN Practitioner - Internal Medicine 6709022312 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2012
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Liberty Healthcare PartnersGroup PAC ID 1153792734, 2 clinicians

Practice addresses (Care Compare)

6740 Lee Hwy
Chattanooga, TN 37421-2423
Phone (423) 498-5839

Hospital & facility affiliations

  • Centerwell Home Health Home health agency, Chattanooga, TN, CCN 447495
  • Amedisys Home Health Chattanooga Home health agency, Chattanooga, TN, CCN 447156
  • Memorial Healthcare System, Inc Hospital, Chattanooga, TN, CCN 440091
  • Erlanger Medical Center Hospital, Chattanooga, TN, CCN 440104

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
53373TNMDLicensed Practical Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Liberty Healthcare Partners CurrentSince Jan 23, 2023 Accepting new patients
Liberty Healthcare Partners Current Accepting new patients
Memorial Health Partners Foundation Inc Current Accepting new patients
Sentef Medical Center PastSince Jun 15, 2012 Accepting new patients

Locations

6740 Lee Hwy
Chattanooga, TN 37421
Phone (423) 498-5839

Interoperability endpoints

  • Direct secure messaging: davidcastrilli@tnmhpf.allscriptsdirect.net
  • Direct secure messaging: david.castrilli.1@30528.direct.athenahealth.com

Organizations & group practices 4

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 5

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": "1335916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1441324800000",
    "number": "1033477666",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1720 GUNBARREL ROAD",
            "address_2": "SUITE 206",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "37421",
            "telephone_number": "423-648-8110",
            "fax_number": "423-443-4297"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1720 GUNBARREL ROAD",
            "address_2": "SUITE 206",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "37421",
            "telephone_number": "423-648-8110",
            "fax_number": "423-443-4297"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CASTRILLI",
        "first_name": "DAVID",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-05-02",
        "last_updated": "2015-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TN",
            "license": "53373",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chattanooga, TN

Sources for this page

Verify at the official NPI Registry.