Individual provider Active NPI

William J Castillo, M.D.

  • Pediatric Cardiology Physician
  • Las Vegas, NV
National Provider Identifier
1093895286
Registry record updated Mar 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Cardiology PhysicianTaxonomy code 2080P0202X
License
12420 Issued in NV
Practice address
3131 La Canada St Ste 230
Las Vegas, NV 89169-2551
Phone
(702) 732-1290
Fax
(702) 732-1385
NPI assigned
Oct 16, 2006
Last updated
Mar 8, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 8, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Cardiology Physician 2080P0202X 20947 WV
Pediatric Cardiology Physician 2080P0202X 12420 NV Primary

Addresses

Primary practice location

3131 La Canada St Ste 230
Las Vegas, NV 89169-2551

Mailing address

3131 La Canada St Ste 230
Las Vegas, NV 89169-2551
Phone (702) 732-1290

Other identifiers 4

IdentifierTypeStateIssuer
NV8114OtherBLUE CROSS BLUE SHIELD
1093895286MedicaidNV
2003496000MedicaidWV
VWCLCQOtherNVMEDICARE GROUP

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV
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
I20071211000458 NV Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Pediatric Medicine 5193757532 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Pediatric Medicine
Education
Other, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
William Neal Evans MD LTDGroup PAC ID 7012804263, 17 clinicians

Practice addresses (Care Compare)

3131 La Canada St
Suite 230
Las Vegas, NV 89169-2551
Phone (702) 732-1290

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
20947WVMDPediatric Cardiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
William Neal Evans MD LTD Pediatric Cardiology CurrentSince Oct 29, 2007 Accepting new patients
William Neal Evans, MD, LTD Pediatric Cardiology CurrentSince Oct 29, 2007 Accepting new patients
Wheeling - Uha Family Medicine Past Accepting new patients
West Virginia University Hospitals, Inc. Past Accepting new patients
Sunrise Hospital and Medical Center, LLC Past Accepting new patients

Locations

10001 S Eastern Ave
Ste 300
Henderson, NV 89052
Phone (702) 260-1019

3006 S Maryland Pkwy
Ste 690
Las Vegas, NV 89109
Phone (702) 732-1290

3131 La Canada St
Ste 230
Las Vegas, NV 89169
Phone (702) 732-1290

653 N Town Center Dr
Ste 114
Las Vegas, NV 89144
Phone (702) 369-4999

653 N Town Center Dr
Ste 310
Las Vegas, NV 89144
Phone (702) 228-1003

1500 E 2nd St
Ste 407
Reno, NV 89502
Phone (775) 324-6644

85 Kirman Ave
Ste 401
Reno, NV 89502
Phone (702) 329-0222

Interoperability endpoints

  • Direct secure messaging: wcastillo18590@direct.umcsn.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

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": "1160956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646697600000",
    "number": "1093895286",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3131 LA CANADA ST STE 230",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891692551",
            "telephone_number": "702-732-1290",
            "fax_number": "702-732-1385"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3131 LA CANADA ST STE 230",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891692551",
            "telephone_number": "702-732-1290",
            "fax_number": "702-732-1385"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CASTILLO",
        "first_name": "WILLIAM",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-16",
        "last_updated": "2022-03-08",
        "certification_date": "2022-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080P0202X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Cardiology",
            "state": "WV",
            "license": "20947",
            "primary": false
        },
        {
            "code": "2080P0202X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Cardiology",
            "state": "NV",
            "license": "12420",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "NV8114",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1093895286",
            "state": "NV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2003496000",
            "state": "WV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP",
            "identifier": "VWCLCQ",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.