Individual provider Active NPI

Pete Castillo, PA-C

  • Medical Physician Assistant
  • Pecos, TX
National Provider Identifier
1144801168
Registry record updated Sep 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
Practice address
2349 Medical Dr
Pecos, TX 79772-2251
Phone
(432) 447-3551
NPI assigned
Apr 20, 2021
Last updated
Sep 10, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X TX Primary
Student in an Organized Health Care Education/Training Program 390200000X UT

Addresses

Primary practice location

2349 Medical Dr
Pecos, TX 79772-2251

Mailing address

2349 Medical Dr
Pecos, TX 79772-2251
Phone (432) 447-3551

Other practice location 1

375 S Chipeta Way Ste A
Salt Lake City, UT 84108-1261
Phone (801) 585-0187

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230109001975 TX Practitioner - Physician Assistant 7315317302 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Reeves County Hospital DistrictGroup PAC ID 2567353469, 25 clinicians

Practice addresses (Care Compare)

2349 Medical Dr
Pecos, TX 79772-2251
Phone (432) 447-3551

2349 Medical Dr
Pecos, TX 79772-7338

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Reeves County Hospital District CurrentSince Oct 19, 2022 Accepting new patients
Reeves County Hospital District PastSince Mar 26, 2023 Accepting new patients
Reeves County Hospital District Past Accepting new patients

Locations

2323 Texas St
Pecos, TX 79772
Phone (432) 447-3551

2335 Medical Dr
Pecos, TX 79772
Phone (432) 447-0565

2349 Medical Dr
Pecos, TX 79772
Phone (432) 447-0565

2349 Medical Dr
Ste Swb
Pecos, TX 79772

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/a7e8884c-0f8a-4040-a7e2-b8409572d6c9/

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.

Hospital & facility affiliations 2

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": "1618876800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757462400000",
    "number": "1144801168",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2349 MEDICAL DR",
            "city": "PECOS",
            "state": "TX",
            "postal_code": "797722251",
            "telephone_number": "432-447-3551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2349 MEDICAL DR",
            "city": "PECOS",
            "state": "TX",
            "postal_code": "797722251",
            "telephone_number": "432-447-3551"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "375 S Chipeta Way Ste A",
            "address_purpose": "LOCATION",
            "city": "Salt Lake City",
            "state": "UT",
            "postal_code": "841081261",
            "country_code": "US",
            "telephone_number": "801-585-0187",
            "fax_number": "801-581-5807",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CASTILLO",
        "first_name": "PETE",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-04-20",
        "last_updated": "2025-09-10",
        "certification_date": "2025-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "TX",
            "license": null,
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "UT",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pecos, TX

Sources for this page

Verify at the official NPI Registry.