Individual provider Active NPI

Samuel F Castillo, M.D.

  • Gastroenterology Physician
  • Chicago, IL
National Provider Identifier
1205801313
Registry record updated Mar 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
036122662 Issued in IL
Practice address
2222 W Division St
Suite 235
Chicago, IL 60622-2717
Phone
(773) 342-6800
Fax
(773) 342-6332
NPI assigned
Feb 22, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 30, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X 036122662 IL Primary

Addresses

Primary practice location

2222 W Division St
Suite 235
Chicago, IL 60622-2717

Mailing address

2222 W Division St
Suite 235
Chicago, IL 60622-2717
Phone (773) 342-6800

Other identifiers 1

IdentifierTypeStateIssuer
036122662MedicaidIL

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address scastillo19320@ce-direct.presencehealth.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
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
I20100119000769 IL Practitioner - GastroenterologyPractitioner - Internal Medicine 1759340953 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
GastroenterologyAlso: Internal Medicine
Education
University of Illinois College of Med (CHI/Peor/Rock/CHM-Urb), 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Chicago Gastroenterology, LLCGroup PAC ID 6204077100, 3 clinicians

Practice addresses (Care Compare)

2222 W Division St
Suite 235
Chicago, IL 60622-2989
Phone (773) 342-6800

Hospital & facility affiliations

  • Presence Saints Mary and Elizabeth Medical Center Hospital, Chicago, IL, CCN 140180
  • Saint Francis Hospital-Evanston Hospital, Evanston, IL, CCN 140080
  • University of Illinois Hospital and Clinics Hospital, Chicago, IL, CCN 140150

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy290
Upper gastrointestinal (GI) endoscopy for acid reflux366

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Presence Healthcare Services Current Accepting new patients
Chicago Gastroenterology, LLC Gastroenterology CurrentSince May 25, 2013 Accepting new patients
George N Atia, M.D., S.C. Gastroenterology Past Accepting new patients

Locations

2222 W Division St
Ste 235
Chicago, IL 60622
Phone (773) 342-6800

2900 N Lakeshore
Chicago, IL 60657
Phone (773) 665-3240

711 W North Ave
Ste 214
Chicago, IL 60610
Phone (312) 335-0180

62311 Collection Ctr Dr
Chicago, IL 60693

Interoperability endpoints

  • Direct secure messaging: scastillo19320@ce-direct.presencehealth.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.

Hospital & facility affiliations 3

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": "1140566400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617062400000",
    "number": "1205801313",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2222 W DIVISION ST",
            "address_2": "SUITE 235",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606222717",
            "telephone_number": "773-342-6800",
            "fax_number": "773-342-6332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2222 W DIVISION ST",
            "address_2": "SUITE 235",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606222717",
            "telephone_number": "773-342-6800",
            "fax_number": "773-342-6332"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CASTILLO",
        "first_name": "SAMUEL",
        "middle_name": "F",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-22",
        "last_updated": "2021-03-30",
        "certification_date": "2021-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "IL",
            "license": "036122662",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036122662",
            "state": "IL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "scastillo19320@ce-direct.presencehealth.org",
            "affiliation": "N",
            "address_1": "2222 W Division St",
            "address_2": "Suite 235",
            "city": "Chicago",
            "state": "IL",
            "country_code": "US",
            "postal_code": "606222717",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.