Fernando Raul Domingo De Castro, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

30062 Issued in AZ

Practice address

4150 N 108TH Ave
Ste 142
Phoenix, AZ 85037-5467

Phone

(623) 322-1145

Fax

(623) 466-9552

NPI assigned

Aug 26, 2005

Last updated

Mar 8, 2011By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/DBGCAA

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.

• Phoenix West Internal Medicine LLC

  • Internal Medicine Physician
  • Phoenix, AZ
  • NPI 1609805530
  Medicare reassignment NPD
• Banner Sun City Medical Group

  • Multi-Specialty Clinic/Center
  • Sun City, AZ
  • NPI 1902067200
  NPD (past)
• Sun Health Corporation

  dba Sun Health Neurosurgery Associates

  • Clinic/Center
  • Sun City, AZ
  • NPI 1568412658
  NPD (past)

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

{
    "created_epoch": "1125014400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1299542400000",
    "number": "1184617979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9524 W CAMELBACK RD PMB 186",
            "address_2": "STE 130",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853050901",
            "telephone_number": "623-322-1145",
            "fax_number": "623-466-9552"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4150 N 108TH AVE",
            "address_2": "STE 142",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850375467",
            "telephone_number": "623-322-1145",
            "fax_number": "623-466-9552"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DE CASTRO",
        "first_name": "FERNANDO RAUL",
        "middle_name": "DOMINGO",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-26",
        "last_updated": "2011-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AZ",
            "license": "30062",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64873504",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Linda De Anda
• Ariana Nicole De Andrado-Byars, MA, LPC
• Theresa L De Armond-Farrell, LPC, NCC
• Janelle A. De Buzna, MS, RD
• Stefanie De Campo
• Beatriz De Diego Lazaro
• Zachary De Francis
• Maria Victoria De Guzman
• Mary Ann De Guzman, LCSW
• Paula Kay De Hart, LPN

• Internal Medicine Physician in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Internal Medicine Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.