Individual provider Active NPI

Michael Jules Castine III, MD

  • Medical Oncology Physician
  • Baton Rouge, LA
National Provider Identifier
1205814092
Registry record updated Jan 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Oncology PhysicianTaxonomy code 207RX0202X
License
12998R Issued in LA
Practice address
8595 Picardy Ave
Suite 400
Baton Rouge, LA 70809-3670
Phone
(225) 767-0822
Fax
(225) 769-5424
NPI assigned
Jan 3, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 3, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Oncology Physician 207RX0202X 12998R LA Primary

Addresses

Primary practice location

8595 Picardy Ave
Suite 400
Baton Rouge, LA 70809-3670

Mailing address

PO Box 749495
Atlanta, GA 30374-9495
Phone (239) 432-8331

Other identifiers 1

IdentifierTypeStateIssuer
1554111MedicaidLA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
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
I20050922000645 LA Practitioner - Hematology/OncologyPractitioner - Internal Medicine 5294769832 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Hematology/OncologyAlso: Internal Medicine
Education
Louisiana State University School of Medicine in New Orleans, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
American Oncology Partners PAGroup PAC ID 0042569758, 377 clinicians

Practice addresses (Care Compare)

605 Medical Ctr Dr
Suite B
Alexandria, LA 71301-8145
Phone (225) 767-0822

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
12998RLAMDMedical Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
American Oncology Partners PA Hematology & Oncology CurrentSince Sep 1, 2018 Accepting new patients
American Oncology Partners, P.a. Hematology & Oncology Past Accepting new patients

Locations

605 Medical Center Dr
Ste B
Alexandria, LA 71301
Phone (225) 767-0822

8595 Picardy Ave
Ste 400
Baton Rouge, LA 70809
Phone (225) 333-3800

8585 Picardy Ave
Ste 110
Baton Rouge, LA 70809
Phone (225) 767-0822

5326 Oak St
St Francisvle, LA 70775
Phone (225) 635-5848

6180 Main St
Ste A
Zachary, LA 70791
Phone (225) 658-4400

4242 Highway 19
Ste 3B
Zachary, LA 70791
Phone (225) 654-0774

4242 Highway 19
Ste 19
Zachary, LA 70791

Organizations & group practices 2

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 35

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 35

NPI Registry JSON

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

{
    "created_epoch": "1136246400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672704000000",
    "number": "1205814092",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 749495",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303749495",
            "telephone_number": "239-432-8331",
            "fax_number": "813-321-1296"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8595 PICARDY AVE",
            "address_2": "SUITE 400",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708093670",
            "telephone_number": "225-767-0822",
            "fax_number": "225-769-5424"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CASTINE",
        "first_name": "MICHAEL",
        "middle_name": "JULES",
        "name_prefix": "Dr.",
        "name_suffix": "III",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-03",
        "last_updated": "2023-01-03",
        "certification_date": "2023-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RX0202X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Medical Oncology",
            "state": "LA",
            "license": "12998R",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1554111",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Baton Rouge, LA

Sources for this page

Verify at the official NPI Registry.