Individual provider Active NPI

Lisa M Castellano, D.O.

  • Cardiovascular Disease Physician
  • Tucson, AZ
National Provider Identifier
1144345810
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
3950 Issued in AZ
Practice address
6567 E Carondelet Dr
Suite 225
Tucson, AZ 85710-6152
Phone
(520) 886-3432
Fax
(520) 886-0169
NPI assigned
Mar 20, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nuclear Cardiology Physician 207UN0901X 3950 AZ
Cardiovascular Disease Physician 207RC0000X 3950 AZ Primary

Addresses

Primary practice location

6567 E Carondelet Dr
Suite 225
Tucson, AZ 85710-6152

Mailing address

3501 E Speedway Blvd
Tucson, AZ 85716-3917
Phone (520) 886-3432

Other identifiers 3

IdentifierTypeStateIssuer
3950OtherAZSTATE LICENSE
222863MedicaidAZ
P00958347OtherAZRR MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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
I20040202001205 AZ Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal MedicinePractitioner - Nuclear Medicine 4183517428 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Internal Medicine
Education
Des Moines University of Osteopathic Medicine and Health Sciences, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Tucson Physician Group Holdings LLCGroup PAC ID 0547560070, 200 clinicians

Practice addresses (Care Compare)

1707 W Saint Marys Rd
Suite 101
Tucson, AZ 85745-2612
Phone (520) 396-1370

395 N Silverbell Rd
Suite 355
Tucson, AZ 85745-2981
Phone (520) 622-5912

400 W Camino Casa Verde
Suite 100
Green Valley, AZ 85614-3569
Phone (520) 625-1760

4892 N Stone Ave
Tucson, AZ 85704-5761

6567 E Carondelet Dr
Suite 225
Tucson, AZ 85710-6154
Phone (520) 886-3432

Hospital & facility affiliations

  • St Joseph'S Hospital Hospital, Tucson, AZ, CCN 030011
  • Tucson Medical Center Hospital, Tucson, AZ, CCN 030006
  • Mt. Graham Regional Medical Center Hospital, Safford, AZ, CCN 031319
  • St. Mary'S Hospital Hospital, Tucson, AZ, CCN 030010

Merit-based Incentive Payment System (MIPS)

Final score
84.74 of 100Reported as group
Quality
79.16
Promoting interoperability
100
Improvement activities
40
Cost
69.96

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
3950AZMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Tucson Physician Group Holdings, LLC Internal Medicine CurrentSince Dec 20, 2015 Accepting new patients
Arizona Diagnostic Pathology Associates PLLC PastSince Oct 27, 2024 Accepting new patients
Carondelet Medical Group, Inc Internal Medicine Past Accepting new patients
Ipn of Arizona, PLC Internal Medicine Past Accepting new patients

Locations

400 W Camino Casa Verde
Ste 100
Green Valley, AZ 85614
Phone (520) 625-1760

1209 W Target Range Rd
Nogales, AZ 85621
Phone (520) 285-3135

1600 S 20th Ave
Safford, AZ 85546
Phone (928) 348-4000

6567 E Carondelet Dr
Ste 225
Tucson, AZ 85710
Phone (520) 886-3432

395 N Silverbell Rd
Ste 355
Tucson, AZ 85745
Phone (520) 622-5912

5301 E Grant Rd
Tucson, AZ 85712
Phone (520) 324-1344

3501 E Speedway Blvd
Tucson, AZ 85716
Phone (520) 833-5171

350 N Wilmot Rd
Tucson, AZ 85711
Phone (520) 873-3000

6567 E Carondelet Dr
Tucson, AZ 85710
Phone (520) 296-2454

2202 N Forbes Blvd
Tucson, AZ 85745
Phone (520) 872-7265

Interoperability endpoints

  • Direct secure messaging: lisa.castellano.1@600.direct.athenahealth.com
  • FHIR API: https://fhir-myrecord.cerner.com/r4/MmWbh382tKlbvAIA1_DeLlIjYVSwroch/

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 and National Provider Directory roles.

Hospital & facility affiliations 4

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": "1174348800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1144345810",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3501 E SPEEDWAY BLVD",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857163917",
            "telephone_number": "520-886-3432",
            "fax_number": "520-886-0169"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6567 E CARONDELET DR",
            "address_2": "SUITE 225",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857106152",
            "telephone_number": "520-886-3432",
            "fax_number": "520-886-0169"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CASTELLANO",
        "first_name": "LISA",
        "middle_name": "M",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-20",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207UN0901X",
            "taxonomy_group": "",
            "desc": "Nuclear Medicine, Nuclear Cardiology",
            "state": "AZ",
            "license": "3950",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "AZ",
            "license": "3950",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "3950",
            "state": "AZ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "222863",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P00958347",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

Verify at the official NPI Registry.