Dexter Runa Casta, M.D.
Individual provider Active NPI Internal Medicine Physician · Litchfield, MN
NPI 1194043034 · NPPES record last updated Jul 26, 2022
Key facts
- NPI
- 1194043034
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Internal Medicine Physician 207R00000X
- License
- 57378 (MN)
- Practice address
- 520 S Sibley Ave
Litchfield, MN 55355-3030 - Phone
- (320) 693-3233
- Fax
- (320) 693-3290
- NPI assigned
- May 15, 2010
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 6
Hospital & facility affiliations 17
Medicare Care Compare profile
- Specialty
- Internal Medicine
- Education
- Other, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Centracare Clinic Southwest LLC
Practice addresses (Care Compare)
101 Willmar Ave SW
Willmar, MN 56201-3556
Phone (320) 231-5000
600 Peterson Pkwy
New London, MN 56273-7823
Phone (320) 354-2222
Hospital & facility affiliations
- Ecumen Home Care and Hospice - Litchfield
- Centracare Hospice
- Centracare- Rice Memorial Hospital
- Centracare - Redwood
- Meeker Memorial Hospital
- Centracare - St. Cloud Hospital
- Chippewa County Hospital
- Bethesda
- Cura of Willmar
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 1-10 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MN
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20140609001817 | MN | Practitioner - Internal Medicine | 2365566205 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Centracare Clinic Southwest LLC | Current |
Accepting new patients | |
| Centracare Clinic Southwest LLC | Current |
Accepting new patients | |
| County of Meeker | Current | Accepting new patients | |
| Bethesda | Past | Accepting new patients | |
| Wyoming Health Medical Group, LLC | Internal Medicine | Past | Accepting new patients |
Locations
612 S Sibley Ave
Litchfield, MN 55355
Phone (320) 693-3242
600 Peterson Pkwy
New London, MN 56273
Phone (320) 354-2222
1200 6th Ave N
Saint Cloud, MN 56303
Phone (320) 252-3342
101 Willmar Ave SW
Willmar, MN 56201
Phone (320) 231-5079
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 57378 | MN | Yes |
Addresses
Primary practice location
520 S Sibley Ave
Litchfield, MN 55355-3030
Mailing address
520 S Sibley Ave
Litchfield, MN 55355-3030
Phone (320) 693-3233
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | dcasta436955@direct.centracare.com | Direct | Carris Health LLC |
Other providers in Litchfield, MN
- Building Hope Inc
- Cassandra Jewels Bulau
- Joyce Lorraine Carlson
- Carris Health LLC
- Carris Health LLC
- Kristen Lynn Cayler
- Kristle Ann Chase
- Children'S Dental Services
- Rachelle Christie
- Cornerstone Care
All providers in Litchfield, MN · Internal Medicine Physician in Minnesota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 26, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.