Individual provider Active NPI

Jason Moses Castro, D.O.

  • Family Medicine Physician
  • Tampa, FL
National Provider Identifier
1154577930
Registry record updated Jun 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
OS11735 Issued in FL
Practice address
2106 S Lois Ave
Tampa, FL 33629-5659
Phone
(813) 844-4200
NPI assigned
Aug 13, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 8, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X OS11735 FL Primary

Addresses

Primary practice location

2106 S Lois Ave
Tampa, FL 33629-5659

Mailing address

PO Box 1289
Attn Managed Care
Tampa, FL 33601-1289

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jcastro82066@direct.tgh.org

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
I20120917000343 FL Practitioner - Family Practice 8224286281 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Arizona College of Osteopathic Medicine Mid Western University, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Tampa General Medical Group IncGroup PAC ID 7416253828, 353 clinicians

Practice addresses (Care Compare)

2501 W Kennedy Blvd
Tampa, FL 33609-3305
Phone (813) 844-0344

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Tampa General Medical Group Inc Family Medicine CurrentSince Apr 1, 2016 Accepting new patients
Tampa General Medical Group Inc Current Accepting new patients
Tampa General Medical Group Inc CurrentSince Apr 1, 2016 Accepting new patients
Kreider Chiropractic Inc Past Accepting new patients
Tampa General Medical Group Inc Family Medicine Past Accepting new patients

Locations

214 Morrison Rd
Ste 110
Brandon, FL 33511
Phone (800) 844-9302

409 Bayshore Blvd
Tampa, FL 33606
Phone (813) 253-2640

2501 W Kennedy Blvd
Tampa, FL 33609
Phone (813) 844-0344

5802 N 30th St
Tampa, FL 33610
Phone (813) 236-5100

16011 Tampa Palms Blvd W
Tampa, FL 33647
Phone (813) 844-5551

2433 Country Place Blvd
Trinity, FL 34655
Phone (813) 844-8200

2324 Oak Myrtle Ln
Wesley Chapel, FL 33544
Phone (813) 751-0422

Interoperability endpoints

  • Direct secure messaging: jcastro82066@direct.tgh.org

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 and National Provider Directory roles.

Hospital & facility affiliations 1

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": "1218585600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623110400000",
    "number": "1154577930",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1289",
            "address_2": "ATTN MANAGED CARE",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336011289"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2106 S LOIS AVE",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336295659",
            "telephone_number": "813-844-4200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CASTRO",
        "first_name": "JASON",
        "middle_name": "MOSES",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-08-13",
        "last_updated": "2021-06-08",
        "certification_date": "2021-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "OS11735",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jcastro82066@direct.tgh.org",
            "affiliation": "N",
            "address_1": "2106 S Lois Ave",
            "city": "Tampa",
            "state": "FL",
            "country_code": "US",
            "postal_code": "336295659",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

Verify at the official NPI Registry.