Individual provider Active NPI

Paul Matthew Castle

  • Emergency Medicine Physician
  • Sells, AZ
National Provider Identifier
1265095236
Registry record updated Jan 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
R77326 Issued in AZ
Practice address
Az-86
Sells, AZ 85634
Phone
(520) 383-7200
NPI assigned
Apr 16, 2019
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 8, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X R77326 AZ Primary

Addresses

Primary practice location

Az-86
Sells, AZ 85634

Mailing address

PO Box 548
Sells, AZ 85634-0548
Phone (520) 383-7200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20230320000376 TX Practitioner - Emergency Medicine 2163757550 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
U S Health Dept of Health and Human Services 98 clinicians

Practice addresses (Care Compare)

10110 S 7650
Crow Agency, MT 59022-0009
Phone (406) 638-4616

Hospital & facility affiliations

  • Sells Hospital Hospital, Sells, AZ, CCN 030074

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Pine Ridge Indian Health Service Hospital Current Accepting new patients
US Health Dept of Health & Human Services Current Accepting new patients
US Health Dept of Health & Human Services CurrentSince Feb 15, 2024 Accepting new patients
Pine Ridge Indian Health Service Hospital CurrentSince Jun 8, 2023 Accepting new patients
U S Health Dept of Health & Human Services CurrentSince Feb 15, 2024 Accepting new patients
Pine Ridge Indian Health Service Hospital CurrentSince Jun 8, 2023 Accepting new patients
Ton Sells Hospital CurrentSince Dec 7, 2022 Accepting new patients
Ton Sells Hospital Past Accepting new patients
Northern Cochise Community Hospital Inc Past Accepting new patients

Locations

669 Agency Main St
Harlem, MT 59526
Phone (406) 353-3100

Organizations & group practices 11

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.

NPI Registry JSON

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

{
    "created_epoch": "1555372800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704672000000",
    "number": "1265095236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 548",
            "city": "SELLS",
            "state": "AZ",
            "postal_code": "856340548",
            "telephone_number": "520-383-7200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "AZ-86",
            "city": "SELLS",
            "state": "AZ",
            "postal_code": "85634",
            "telephone_number": "520-383-7200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CASTLE",
        "first_name": "PAUL",
        "middle_name": "MATTHEW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-04-16",
        "last_updated": "2024-01-08",
        "certification_date": "2024-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "AZ",
            "license": "R77326",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sells, AZ

Sources for this page

Verify at the official NPI Registry.