Active NPI
Marie E. Castillo-Alcasid, M.D.
- Internal Medicine Physician
- Fulton, NY
National Provider Identifier
1124135025
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 237698
- Practice address
- 522 S 4TH St
Suite 500
Fulton, NY 13069-2946 - Phone
- (315) 598-4740
- Fax
- (315) 598-4719
- NPI assigned
- Aug 24, 2006
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 237698 | NY | Primary |
Addresses
Primary practice location
522 S 4TH St
Suite 500
Fulton, NY 13069-2946
Mailing address
239 Oneida St
Fulton, NY 13069-1228
Phone (315) 598-4715
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20051221000398 | NY | Practitioner - Internal Medicine | 1951323781 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 1990
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Oswego Hospital
Practice addresses (Care Compare)
110 W 6TH St
Oswego, NY 13126-2507
Phone (315) 349-5511
Hospital & facility affiliations
- Oswego Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 000902 | NY | MD | Psychoanalyst |
Interoperability endpoints
- mcastillo@oswegohealth.hiemail.healtheconnections.org
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 and National Provider Directory roles.
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": "1156377600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1124135025",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "239 ONEIDA ST",
"city": "FULTON",
"state": "NY",
"postal_code": "130691228",
"telephone_number": "315-598-4715",
"fax_number": "315-598-4733"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "522 S 4TH ST",
"address_2": "SUITE 500",
"city": "FULTON",
"state": "NY",
"postal_code": "130692946",
"telephone_number": "315-598-4740",
"fax_number": "315-598-4719"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CASTILLO-ALCASID",
"first_name": "MARIE",
"middle_name": "E.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-24",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NY",
"license": "237698",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fulton, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.