Individual provider Active NPI

Miguel Castillo Santiago, APRN

  • Family Nurse Practitioner
  • Houston, TX
National Provider Identifier
1073165627
Registry record updated May 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
938042 Issued in TX
Practice address
1140 Westmont Dr Ste 425
Houston, TX 77015-4358
Phone
(713) 351-5000
NPI assigned
Jul 14, 2019
Last updated
May 9, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 9, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X APRN11003103 FL
Family Nurse Practitioner 363LF0000X APRN11003103 FL
Family Nurse Practitioner 363LF0000X 938042 TX Primary

Addresses

Primary practice location

1140 Westmont Dr Ste 425
Houston, TX 77015-4358

Mailing address

4223 Richmond Ave
Houston, TX 77027-6856
Phone (904) 659-3749

Other practice location 1

5150 Crenshaw Rd Ste A100
Pasadena, TX 77505-3095
Phone (713) 351-5000

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230714001748 TX Practitioner - Nurse Practitioner 1759613193 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Houston Metro UrologyGroup PAC ID 3971508235, 31 clinicians

Practice addresses (Care Compare)

1140 Westmont Dr
Suite 425
Houston, TX 77015-4358
Phone (713) 453-4395

Merit-based Incentive Payment System (MIPS)

Final score
99.15 of 100Reported as group
Promoting interoperability
99
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
APRN11003103FLMDFamily Nurse Practitioner
938042TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Houston Metro Urology CurrentSince Mar 2, 2023 Accepting new patients

Locations

1140 Westmont Dr
Ste 425
Houston, TX 77015
Phone (713) 351-5000

4140 Southwest Fwy
Houston, TX 77027
Phone (713) 650-1900

4200 Twelve Oaks Dr
Houston, TX 77027
Phone (713) 621-5010

4223 Richmond Ave
Houston, TX 77027
Phone (713) 351-0630

6560 Fannin St
Ste 1440
Houston, TX 77030
Phone (713) 523-7843

9230 Katy Fwy
Ste 510
Houston, TX 77055
Phone (713) 634-4441

5150 Crenshaw Rd
Ste A100
Pasadena, TX 77505
Phone (713) 396-2820

Interoperability endpoints

  • Direct secure messaging: miguel.castillo.santiago.1@15454.direct.athenahealth.com

Organizations & group practices 1

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": "1563062400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683590400000",
    "number": "1073165627",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4223 RICHMOND AVE",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770276856",
            "telephone_number": "904-659-3749"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1140 WESTMONT DR STE 425",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770154358",
            "telephone_number": "713-351-5000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5150 Crenshaw Rd Ste A100",
            "address_purpose": "LOCATION",
            "city": "Pasadena",
            "state": "TX",
            "postal_code": "775053095",
            "country_code": "US",
            "telephone_number": "713-351-5000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CASTILLO SANTIAGO",
        "first_name": "MIGUEL",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-07-14",
        "last_updated": "2023-05-09",
        "certification_date": "2023-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "APRN11003103",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11003103",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "938042",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.