Individual provider Active NPI

Emilio Edgardo Castaneda, M.D.

  • Endocrinology, Diabetes & Metabolism Physician
  • Pembroke Pines, FL
National Provider Identifier
1194858746
Registry record updated Oct 22, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
License
ME 32388 Issued in FL
Practice address
12177 Pembroke Rd
Pembroke Pines, FL 33025-1727
Phone
(954) 436-0555
Fax
(954) 436-0108
NPI assigned
Mar 13, 2007
Last updated
Oct 22, 2013By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 22, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endocrinology, Diabetes & Metabolism Physician 207RE0101X ME 32388 FL Primary

Addresses

Primary practice location

12177 Pembroke Rd
Pembroke Pines, FL 33025-1727

Mailing address

12177 Pembroke Rd
Pembroke Pines, FL 33025-1727
Phone (954) 436-0555

Other identifiers 1

IdentifierTypeStateIssuer
037703100MedicaidFL

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
I20040716000667 FL Practitioner - EndocrinologyPractitioner - Family PracticePractitioner - Internal Medicine 2365421930 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
EndocrinologyAlso: Family Practice, Internal Medicine
Education
Other, 1972
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Premium Healthcare Holdings, LLLPGroup PAC ID 7315320207, 8 clinicians
A Med Practice LLCGroup PAC ID 0547548356, 2 clinicians

Practice addresses (Care Compare)

2100 E Hallandale Beach Blvd
Suite 202
Hallandale Beach, FL 33009-3770
Phone (954) 239-0578

2400 SW 69TH Ave
Suite 100
Miami, FL 33155-2947
Phone (305) 265-4441

4055 NW 97TH Ave
Suite 100
Doral, FL 33178-2911
Phone (786) 801-1168

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME 32388FLMDEndocrinology, Diabetes & Metabolism Physician

Practice roles

OrganizationSpecialtyStatusNew patients
A Med Practice LLC CurrentSince Feb 22, 2023 Accepting new patients
Union Medical Center LLC CurrentSince Aug 1, 2022 Accepting new patients
Premium Healthcare Holdings, LLLP CurrentSince Jan 11, 2023 Accepting new patients
Emilio Castaneda MD PLLC Endocrinology, Diabetes & Metabolism CurrentSince Jun 21, 2011 Accepting new patients
A New Start: Financial & Social Services Inc. CurrentSince Aug 8, 2024 Accepting new patients
Trinity Psychiatric Services LLC CurrentSince Aug 1, 2019 Accepting new patients
Castaneda Medical Center Current Accepting new patients
Nuhealth Solutions, LLC Past Accepting new patients
Hoover Family Medicine PA Past Accepting new patients

Locations

2230 SW 70th Ave
Ste 2
Davie, FL 33317
Phone (305) 891-6778

4055 NW 97th Ave
Ste 100
Doral, FL 33178
Phone (786) 801-1168

2100 E Hallandale Beach Blvd
Ste 202
Hallandale Beach, FL 33009
Phone (954) 239-0578

2400 SW 69th Ave
Miami, FL 33155
Phone (305) 413-5070

2400 SW 69th Ave
Ste 100
Miami, FL 33155

6850 Coral Way
Miami, FL 33155
Phone (305) 665-8205

115 NW 167th St
Fl 2
North Miami Beach, FL 33169
Phone (305) 627-3208

1818 SE Port St Lucie Blvd
Port St Lucie, FL 34952
Phone (772) 353-5370

Interoperability endpoints

  • Direct secure messaging: emilio.castaneda.1@22462.direct.athenahealth.com
  • Direct secure messaging: emiliocastaneda@gdol-fl.direct.office.nextgen.com
  • FHIR API: https://api.platform.athenahealth.com/22462/brand/1/csg/1/fhir/r4

Organizations & group practices 10

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.

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": "1173744000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1382400000000",
    "number": "1194858746",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12177 PEMBROKE RD",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330251727",
            "telephone_number": "954-436-0555",
            "fax_number": "954-436-0108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12177 PEMBROKE RD",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330251727",
            "telephone_number": "954-436-0555",
            "fax_number": "954-436-0108"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CASTANEDA",
        "first_name": "EMILIO",
        "middle_name": "EDGARDO",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-13",
        "last_updated": "2013-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "FL",
            "license": "ME 32388",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "037703100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pembroke Pines, FL

Sources for this page

Verify at the official NPI Registry.