Individual provider Active NPI

Kenia Castro, M.D.

  • Psychiatry Physician
  • Hialeah, FL
National Provider Identifier
1124237524
Registry record updated Nov 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
ME101259 Issued in FL
Practice address
4160 W 16TH Ave Ste 301
Hialeah, FL 33012-5853
Phone
(305) 690-0332
Fax
(786) 648-4409
NPI assigned
May 22, 2007
Last updated
Nov 10, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 10, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X ME101259 FL Primary

Addresses

Primary practice location

4160 W 16TH Ave Ste 301
Hialeah, FL 33012-5853

Mailing address

331 NW 32ND Ave
Miami, FL 33125-4108
Phone (305) 519-4916

Other identifiers 1

IdentifierTypeStateIssuer
000218200MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20080808000658 FL Practitioner - Psychiatry 8224102207 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

8200 SW 117 Ave
Suite 202
Miami, FL 33183-4825
Phone (305) 274-9206

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME101259FLMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Citrus Health Network, Inc. CurrentSince May 17, 2010 Accepting new patients
Citrus Health Network Inc CurrentSince May 17, 2010 Accepting new patients
Kenia Castro M.D. PA CurrentSince Apr 18, 2010 Accepting new patients
Luis Hines & Associates, PA Psychiatry PastSince Sep 25, 2008 Accepting new patients
O Yes Medical Services Inc. Past Accepting new patients

Locations

4175 W 20th Ave
Hialeah, FL 33012
Phone (305) 424-3030

8720 N Kendall Dr
Ste 211
Miami, FL 33176
Phone (305) 273-3007

8200 SW 117th Ave
Ste 202
Miami, FL 33183
Phone (305) 274-9206

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1179792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699574400000",
    "number": "1124237524",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "331 NW 32ND AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331254108",
            "telephone_number": "305-519-4916",
            "fax_number": "305-412-6686"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4160 W 16TH AVE STE 301",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330125853",
            "telephone_number": "305-690-0332",
            "fax_number": "786-648-4409"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CASTRO",
        "first_name": "KENIA",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-22",
        "last_updated": "2023-11-10",
        "certification_date": "2023-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "FL",
            "license": "ME101259",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000218200",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hialeah, FL

Sources for this page

Verify at the official NPI Registry.