Active NPI
Santiago Singson Castillo Jr., MD
- Anatomic Pathology & Clinical Pathology Physician
- Columbus, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anatomic Pathology & Clinical Pathology Physician
- License
- 35-060060
- Practice address
- 3535 Olentangy River Road
Pathology Department
Columbus, OH 43214-3908 - Phone
- (614) 566-4945
- NPI assigned
- Jan 6, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | 35-060060 | OH | Primary |
Addresses
Primary practice location
3535 Olentangy River Road
Pathology Department
Columbus, OH 43214-3908
Mailing address
2857 Manley Rd
Maumee, OH 43537-9654
Phone (419) 320-0504
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2474755 | Medicaid | OH | |
| NM009T91 | Other | NM | BC/BS |
| 1811436000 | Medicaid | WV | |
| 934663 | Other | AZ | AHCCCS |
| 201050986 | Other | NM | PRESBYTERIAN HEALTH/SALUD |
| 10020366 | Other | NM | LOVELACE HEALTH/SALUD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35-060060 | OH | MD | Anatomic Pathology & Clinical Pathology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Complexcare Medical Group Midwest M PLLC | Current | Accepting new patients | |
| Theoria Medical | Current | Accepting new patients | |
| Northwest Ohio Urgent Care Inc | Past | Accepting new patients | |
| Lima Memorial Joint Operating Company | Past | Accepting new patients | |
| Mary Rutan Hospital | Past | Accepting new patients |
Locations
41800 W 11 Mile Rd
Ste 109
Novi, MI 48375
Phone (833) 578-2763
904 Issac Sts
Oregon, OH 43616
Phone (419) 691-2483
7120 Port Sylvania Dr
Toledo, OH 43617
Phone (419) 841-2200
1030 High St
Worthington, OH 43085
Phone (614) 876-7356
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.
-
- Internal Medicine Physician
- Novi, MI
- NPI 1609362375
-
- General Acute Care Hospital
- Lima, OH
- NPI 1336144732
-
- Family Medicine Physician
- West Liberty, OH
- NPI 1003875949
-
- Internal Medicine Physician
- Toledo, OH
- NPI 1710183520
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1136505600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1519171200000",
"number": "1063490381",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2857 MANLEY RD",
"city": "MAUMEE",
"state": "OH",
"postal_code": "435379654",
"telephone_number": "419-320-0504",
"fax_number": "419-868-1525"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3535 OLENTANGY RIVER ROAD",
"address_2": "PATHOLOGY DEPARTMENT",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432143908",
"telephone_number": "614-566-4945"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CASTILLO",
"first_name": "SANTIAGO",
"middle_name": "SINGSON",
"name_prefix": "Dr.",
"name_suffix": "Jr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-01-06",
"last_updated": "2018-02-21",
"status": "A"
},
"taxonomies": [
{
"code": "207ZP0102X",
"taxonomy_group": "",
"desc": "Pathology, Anatomic Pathology & Clinical Pathology",
"state": "OH",
"license": "35-060060",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2474755",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BC/BS",
"identifier": "NM009T91",
"state": "NM"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1811436000",
"state": "WV"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AHCCCS",
"identifier": "934663",
"state": "AZ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PRESBYTERIAN HEALTH/SALUD",
"identifier": "201050986",
"state": "NM"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LOVELACE HEALTH/SALUD",
"identifier": "10020366",
"state": "NM"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Columbus, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.