Individual provider Active NPI

Jose Marciano Castro, MD

  • Internal Medicine Physician
  • Wilmington, DE
National Provider Identifier
1083792352
Registry record updated Mar 6, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
C10006064 Issued in DE
Practice address
2055 Limestone Rd
Suite 111
Wilmington, DE 19808-5536
Phone
(302) 999-8169
Fax
(302) 999-8190
NPI assigned
Nov 2, 2006
Last updated
Mar 6, 2013By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2013

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 C10006064 DE Primary

Addresses

Primary practice location

2055 Limestone Rd
Suite 111
Wilmington, DE 19808-5536

Mailing address

PO Box 1137
Hockessin, DE 19707-5137
Phone (302) 999-8169

Other identifiers 1

IdentifierTypeStateIssuer
0001082001MedicaidDE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DE
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
I20050421000389 DE Practitioner - Internal Medicine 4981642808 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
First State Medical AssociatesGroup PAC ID 4284733221, 3 clinicians

Practice addresses (Care Compare)

2055 Limestone Rd
Wilmington, DE 19808-5536
Phone (302) 565-4616

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
C10006064DEMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
First State Medical Associates Internal Medicine CurrentSince May 1, 2007 Accepting new patients
Hospitalists of Delaware Internal Medicine Past Accepting new patients

Locations

2055 Limestone Rd
Ste 111
Wilmington, DE 19808
Phone (302) 565-4616

Organizations & group practices 3

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.

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": "1162425600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1362528000000",
    "number": "1083792352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1137",
            "city": "HOCKESSIN",
            "state": "DE",
            "postal_code": "197075137",
            "telephone_number": "302-999-8169",
            "fax_number": "302-999-8190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2055 LIMESTONE RD",
            "address_2": "SUITE 111",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198085536",
            "telephone_number": "302-999-8169",
            "fax_number": "302-999-8190"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CASTRO",
        "first_name": "JOSE MARCIANO",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-02",
        "last_updated": "2013-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "DE",
            "license": "C10006064",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0001082001",
            "state": "DE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilmington, DE

Sources for this page

Verify at the official NPI Registry.