Active NPI
Connor Gregory Policastro, MD
- Urology Physician
- Winston Salem, NC
National Provider Identifier
1205326295
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urology Physician
- License
- 2023-01400
- Practice address
- 140 Charlois Blvd
Winston Salem, NC 27103-1522 - Phone
- (336) 716-4131
- Fax
- (336) 713-0328
- NPI assigned
- May 15, 2018
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Urology Physician | 208800000X | 2023-01400 | NC | Primary |
| Student in an Organized Health Care Education/Training Program | 390200000X |
Addresses
Primary practice location
140 Charlois Blvd
Winston Salem, NC 27103-1522
Mailing address
100 Kimel Forest Dr
Winston Salem, NC 27103-6074
Phone (336) 716-0238
Other practice location 1
750 E Adams St
Syracuse, NY 13210-2306
Phone (203) 313-6657
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC, LA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Urology
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1514 Jefferson Hwy
New Orleans, LA 70121-2429
Phone (504) 842-3000
Hospital & facility affiliations
- Ochsner Medical Center Acute
- Ochsner Medical Center-Kenner
- St Bernard Parish Hospital
- Slidell Memorial Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 99.15 of 100
- Promoting interoperability
- 99
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Prostate resection | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ochsner Clinic LLC | Current | Accepting new patients | |
| Ochsner Clinic LLC | Current | Accepting new patients | |
| Ochsner Clinic LLC | Current | Accepting new patients |
Locations
180 W Esplanade Ave
Kenner, LA 70065
Phone (504) 464-8284
2700 Napoleon Ave
New Orleans, LA 70115
Phone (504) 842-3650
1514 Jefferson Hwy
New Orleans, LA 70121
2500 Belle Chasse Hwy
Terrytown, LA 70056
Phone (504) 391-5157
Interoperability endpoints
- cpolicastro2309972@direct.ochsner.org
Organizations & group practices 3
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.
-
- General Practice Physician
- New Orleans, LA
- NPI 1538151428
-
dba Diabetes Prevention Program
- Registered Dietitian
- Covington, LA
- NPI 1013747039
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba St. Bernard Parish Hospital
- Rural Acute Care Hospital
- Chalmette, LA
- NPI 1083903744
-
dba Ochsner Medical Center Acute
- General Acute Care Hospital
- New Orleans, LA
- NPI 1811973100
-
- General Acute Care Hospital
- Kenner, LA
- NPI 1710097936
-
- General Acute Care Hospital
- Slidell, LA
- NPI 1578568481
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1526342400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1688601600000",
"number": "1205326295",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 KIMEL FOREST DR",
"city": "WINSTON SALEM",
"state": "NC",
"postal_code": "271036074",
"telephone_number": "336-716-0238"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "140 CHARLOIS BLVD",
"city": "WINSTON SALEM",
"state": "NC",
"postal_code": "271031522",
"telephone_number": "336-716-4131",
"fax_number": "336-713-0328"
}
],
"practiceLocations": [
{
"address_1": "750 E Adams St",
"address_purpose": "LOCATION",
"city": "Syracuse",
"state": "NY",
"postal_code": "132102306",
"country_code": "US",
"telephone_number": "203-313-6657",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "POLICASTRO",
"first_name": "CONNOR",
"middle_name": "GREGORY",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2018-05-15",
"last_updated": "2023-07-06",
"certification_date": "2023-07-06",
"status": "A"
},
"taxonomies": [
{
"code": "208800000X",
"taxonomy_group": "",
"desc": "Urology",
"state": "NC",
"license": "2023-01400",
"primary": true
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Winston Salem, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2023; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.