Individual provider Active NPI

Jorge Humberto Castro-Otero, M.D.

  • Surgery Physician
  • Stuttgart, AR
National Provider Identifier
1124219381
Registry record updated Jan 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
E-18811 Issued in AR
Practice address
1703 N Buerkle St Ste 1
Stuttgart, AR 72160-3153
Phone
(870) 673-2511
Fax
(870) 673-2518
NPI assigned
Aug 5, 2007
Last updated
Jan 16, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 16, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X E-18811 AR Primary
Surgical Critical Care Physician 2086S0102X MT 189539 PA

Addresses

Primary practice location

1703 N Buerkle St Ste 1
Stuttgart, AR 72160-3153

Mailing address

11001 Executive Center Dr Ste 200
Little Rock, AR 72211-4393
Phone (870) 673-2511

Other practice location 1

5056 Pennway St
Philadelphia, PA 19124-3508
Phone (412) 218-4495

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR
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
I20250218003442 AR Practitioner - General Surgery 7113447327 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Arkansas Health GroupGroup PAC ID 7911802079, 645 clinicians

Practice addresses (Care Compare)

1703 N Buerkle St
Suite 1
Stuttgart, AR 72160-3153
Phone (870) 674-6190

9601 Baptist Health Dr
Suite 700
Little Rock, AR 72205-6329
Phone (501) 219-1970

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10
Hernia repair - groin (open)1-10
Hernia repair (minimally invasive)1-10
Upper gastrointestinal (GI) endoscopy for acid reflux1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MT 189539PAMDSurgical Critical Care Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Arkansas Health Group CurrentSince Mar 3, 2025 Accepting new patients
Arkansas Health Group Current Accepting new patients
Arkansas Health Group CurrentSince Jan 19, 2025 Accepting new patients
Arkansas Health Group Surgery CurrentSince Mar 3, 2025 Accepting new patients

Locations

11001 Executive Center Dr
Ste 200
Little Rock, AR 72211
Phone (501) 812-7215

9601 Baptist Health Dr
Little Rock, AR 72205
Phone (501) 202-3995

9601 Baptist Health Dr
Ste 700
Little Rock, AR 72205
Phone (501) 219-1970

1703 N Buerkle St
Ste 1
Stuttgart, AR 72160
Phone (870) 673-2511

Interoperability endpoints

  • Direct secure messaging: jcastrootero786012@direct.baptist-healthar.org

Organizations & group practices 4

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": "1186272000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736985600000",
    "number": "1124219381",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11001 EXECUTIVE CENTER DR STE 200",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722114393",
            "telephone_number": "870-673-2511",
            "fax_number": "870-673-2518"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1703 N BUERKLE ST STE 1",
            "city": "STUTTGART",
            "state": "AR",
            "postal_code": "721603153",
            "telephone_number": "870-673-2511",
            "fax_number": "870-673-2518"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5056 Pennway St",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "PA",
            "postal_code": "191243508",
            "country_code": "US",
            "telephone_number": "412-218-4495",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CASTRO-OTERO",
        "first_name": "JORGE",
        "middle_name": "HUMBERTO",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-08-05",
        "last_updated": "2025-01-16",
        "certification_date": "2025-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "AR",
            "license": "E-18811",
            "primary": true
        },
        {
            "code": "2086S0102X",
            "taxonomy_group": "",
            "desc": "Surgery, Surgical Critical Care",
            "state": "PA",
            "license": "MT 189539",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stuttgart, AR

Sources for this page

Verify at the official NPI Registry.