Individual provider Active NPI

Harvey 1 Castro, M.D.

  • Emergency Medicine Physician
  • Coppell, TX
National Provider Identifier
1164474789
Registry record updated Jun 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
M3967 Issued in TX
Practice address
720 N Denton Tap Rd
Coppell, TX 75019-2162
Phone
(469) 649-7006
Fax
(469) 649-7009
NPI assigned
May 16, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medical Services (Emergency Medicine) Physician 207PE0004X MD427540 PA
Emergency Medicine Physician 207P00000X M3967 TX Primary

Addresses

Primary practice location

720 N Denton Tap Rd
Coppell, TX 75019-2162

Mailing address

1845 Precinct Line Rd
Ste 107
Hurst, TX 76054-3109
Phone (469) 618-4959

Other identifiers 6

IdentifierTypeStateIssuer
8BC201OtherTXBCBS
8V2877OtherTXBCBS
11153521MedicaidNM
181625801MedicaidTX
181625802MedicaidTX
P003675737OtherTXMEDICARE RAILROAD

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20061003000508 TX Practitioner - Emergency Medicine 1456363357 Reassigns benefits to 3 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
M3967TXMDEmergency Medicine Physician
MD427540PAMDEmergency Medical Services (Emergency Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
TPG Texas PLLC Current Accepting new patients
Questcare Medical Services, PLLC Emergency Medicine CurrentSince Jul 1, 2006 Accepting new patients
TPG Texas PLLC CurrentSince Oct 25, 2022 Accepting new patients
Questcare Medical Services, PLLC Emergency Medicine CurrentSince Jul 1, 2006 Accepting new patients
Innovative Emergency Physicians of Frisco, PA Emergency Medicine CurrentSince Jan 1, 2015 Accepting new patients
Greater Houston Emergency Physicians PLLC Emergency Medicine Past Accepting new patients

Locations

7777 Forest Ln
Dallas, TX 75230
Phone (972) 566-7283

609 Medical Center Dr
Decatur, TX 76234
Phone (940) 626-1360

5601 Warren Pkwy
Frisco, TX 75034
Phone (214) 407-5000

3901 W 15th St
Plano, TX 75075
Phone (972) 519-1115

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": "1147737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1591142400000",
    "number": "1164474789",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1845 PRECINCT LINE RD",
            "address_2": "STE 107",
            "city": "HURST",
            "state": "TX",
            "postal_code": "760543109",
            "telephone_number": "469-618-4959"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "720 N DENTON TAP RD",
            "city": "COPPELL",
            "state": "TX",
            "postal_code": "750192162",
            "telephone_number": "469-649-7006",
            "fax_number": "469-649-7009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CASTRO",
        "first_name": "HARVEY",
        "middle_name": "1",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-16",
        "last_updated": "2020-06-03",
        "certification_date": "2020-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207PE0004X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine, Emergency Medical Services",
            "state": "PA",
            "license": "MD427540",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "TX",
            "license": "M3967",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "8BC201",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "8V2877",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "11153521",
            "state": "NM"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "181625801",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "181625802",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "P003675737",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Coppell, TX

Sources for this page

Verify at the official NPI Registry.