Individual provider Active NPI

Tarah Leanne Castleberry, D.O.

  • Family Medicine Physician
  • Galveston, TX
National Provider Identifier
1154346252
Registry record updated Feb 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
N4329 Issued in TX
Practice address
301 University Blvd
Galveston, TX 77555-5303
Phone
(281) 414-9098
NPI assigned
Jul 12, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 4, 2026

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X A-2134-18 NM
Aerospace Medicine Physician 2083A0100X 0102201093 VA
Family Medicine Physician 207Q00000X 4694 AZ
Family Medicine Physician 207Q00000X N4329 TX Primary
Family Medicine Physician 207Q00000X DR.0067875 CO

Addresses

Primary practice location

301 University Blvd
Galveston, TX 77555-5303

Mailing address

1013 Bryan Ave
Seabrook, TX 77586-3818
Phone (281) 414-9098

Other names 1

  • Tarah Leanne Johnson Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, NM, CO3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20120730000435 TX Practitioner - Family PracticePractitioner - Other (Physician) 3476607540 Reassigns benefits to 1 organization
I20200114002019 NM Practitioner - Family Practice 3476607540 Reassigns benefits to 1 organization
I20220330002671 CO Practitioner - Family Practice 3476607540 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
75.69 of 100Reported as group
Quality
71.4
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
DR.0067875COMDFamily Medicine Physician
A-2134-18NMMDFamily Medicine Physician
N4329TXMDFamily Medicine Physician
0102201093VAMDAerospace Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Las Cruces Physician Practices, LLC CurrentSince Dec 1, 2019 Accepting new patients
Las Cruces Physician Practices LLC CurrentSince Dec 1, 2019 Accepting new patients
Valley Citizens' Foundation for Health Care Inc CurrentSince May 1, 2022 Accepting new patients
Utmb Faculty Group Practice CurrentSince Jun 1, 2012 Accepting new patients
Las Cruces Physician Practices, LLC Current Accepting new patients
Valley Citizens' Foundation for Health Care Inc CurrentSince May 1, 2022 Accepting new patients

Locations

310 County Road 14
Del Norte, CO 81132
Phone (719) 657-2510

310 County Road 14
Unit C
Del Norte, CO 81132
Phone (719) 657-2418

1033 2nd Ave
Monte Vista, CO 81144
Phone (719) 852-8827

4351 E Lohman Ave
Ste 403
Las Cruces, NM 88011
Phone (575) 522-6806

4351 E Lohman Ave
Ste 200
Las Cruces, NM 88011
Phone (505) 532-9755

4672 N Sonoma Ranch Blvd
Ste B
Las Cruces, NM 88011
Phone (575) 556-1871

330 Seven Springs Way
Brentwood, TN 37027
Phone (615) 920-7780

301 University Blvd
Galveston, TX 77555
Phone (409) 747-1883

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1152662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770163200000",
    "number": "1154346252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1013 BRYAN AVE",
            "city": "SEABROOK",
            "state": "TX",
            "postal_code": "775863818",
            "telephone_number": "281-414-9098"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 UNIVERSITY BLVD",
            "city": "GALVESTON",
            "state": "TX",
            "postal_code": "775555303",
            "telephone_number": "281-414-9098"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CASTLEBERRY",
        "first_name": "TARAH",
        "middle_name": "LEANNE",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-12",
        "last_updated": "2026-02-04",
        "certification_date": "2026-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NM",
            "license": "A-2134-18",
            "primary": false
        },
        {
            "code": "2083A0100X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Aerospace Medicine",
            "state": "VA",
            "license": "0102201093",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AZ",
            "license": "4694",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "N4329",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CO",
            "license": "DR.0067875",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TARAH",
            "last_name": "JOHNSON",
            "middle_name": "LEANNE",
            "credential": "DO",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Galveston, TX

Sources for this page

Verify at the official NPI Registry.