Individual provider Active NPI

James Walter Castillo II, MD

  • Hospice and Palliative Medicine (Internal Medicine) Physician
  • Edinburg, TX
National Provider Identifier
1063401776
Registry record updated Jul 19, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospice and Palliative Medicine (Internal Medicine) PhysicianTaxonomy code 207RH0002X
License
M1041 Issued in TX
Practice address
5501 S McColl Rd
Edinburg, TX 78539
Phone
(956) 362-8677
Fax
(956) 362-7253
NPI assigned
Oct 14, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 19, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hospice and Palliative Medicine (Internal Medicine) Physician 207RH0002X M1041 TX Primary

Addresses

Primary practice location

5501 S McColl Rd
Edinburg, TX 78539

Mailing address

PO Box 749
Pharr, TX 78577-1614
Phone (569) 362-3795

Other practice location 1

2101 Pease St
Harlingen, TX 78550-8348
Phone (956) 389-6565

Other identifiers 2

IdentifierTypeStateIssuer
177737702MedicaidTX
177737703MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20051005000968 TX Practitioner - Hospice/Palliative CarePractitioner - Internal Medicine 6608801998 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Hospice/Palliative Care
Education
University of Miami, LM Miller School of Medicine, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Renaissance Medical FoundationGroup PAC ID 1153409867, 178 clinicians

Practice addresses (Care Compare)

5501 S McColl Rd
Edinburg, TX 78539-5503
Phone (956) 362-2171

Hospital & facility affiliations

  • DHR Health Hospice Hospice, Edinburg, TX, CCN 671788
  • Only Love Hospice Hospice, McAllen, TX, CCN 671687
  • Doctors Hosptal at Renaissance Hospital, Edinburg, TX, CCN 450869

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
M1041TXMDHospice and Palliative Medicine (Internal Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Maria Ruby Guajardo, M.D., P.a. Current Accepting new patients
BHS Physicians Network, Inc CurrentSince Aug 1, 2015 Accepting new patients
Renaissance Medical Foundation CurrentSince May 13, 2019 Accepting new patients
BHS Physicians Network, Inc CurrentSince Aug 1, 2015 Accepting new patients
BHS Specialty Network Inc Past Accepting new patients

Locations

2655 Cornerstone Blvd
Edinburg, TX 78539
Phone (956) 362-3780

5501 S McColl Rd
Edinburg, TX 78539
Phone (956) 362-3300

5111 S McColl Rd
Edinburg, TX 78539
Phone (956) 668-1200

2121 Pease St
Ste 1D
Harlingen, TX 78550
Phone (956) 389-4060

2121 Pease St
Ste 1G
Harlingen, TX 78550
Phone (956) 423-0038

2222 Benwood St
Harlingen, TX 78550
Phone (956) 389-2440

2101 Pease St
Harlingen, TX 78550
Phone (956) 369-1100

2101 Pease St
Fl 4
Harlingen, TX 78550
Phone (956) 389-2002

707 W Sesame Dr
Harlingen, TX 78550
Phone (956) 412-5800

3903 Wiseman Blvd
Ste 100
San Antonio, TX 78251
Phone (210) 681-0126

3903 Wiseman Blvd
San Antonio, TX 78251
Phone (210) 681-0126

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
DHR Health HospiceEdinburg, TX, CCN 671788 Hospice W-2 Managing Employee Jun 27, 2019

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 5

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 4

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": "1129248000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1563494400000",
    "number": "1063401776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 749",
            "city": "PHARR",
            "state": "TX",
            "postal_code": "785771614",
            "telephone_number": "569-362-3795",
            "fax_number": "569-362-3793"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5501 S MCCOLL RD",
            "city": "EDINBURG",
            "state": "TX",
            "postal_code": "78539",
            "telephone_number": "956-362-8677",
            "fax_number": "956-362-7253"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2101 Pease St",
            "address_purpose": "LOCATION",
            "city": "Harlingen",
            "state": "TX",
            "postal_code": "785508348",
            "country_code": "US",
            "telephone_number": "956-389-6565",
            "fax_number": "956-389-6567",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CASTILLO",
        "first_name": "JAMES",
        "middle_name": "WALTER",
        "name_suffix": "II",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-14",
        "last_updated": "2019-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0002X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hospice and Palliative Medicine",
            "state": "TX",
            "license": "M1041",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "177737702",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "177737703",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Edinburg, TX

Sources for this page

Verify at the official NPI Registry.