Individual provider Active NPI

Jesus Eduardo Castillo Martinez

  • Critical Care Pediatric Nurse Practitioner
  • Edinburg, TX
National Provider Identifier
1275312852
Registry record updated Sep 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Care Pediatric Nurse PractitionerTaxonomy code 363LP0222X
License
1136455 Issued in TX
Practice address
1102 W Trenton Rd
Edinburg, TX 78539-9105
Phone
(956) 388-6900
NPI assigned
Sep 25, 2023
Last updated
Sep 25, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Care Pediatric Nurse Practitioner 363LP0222X 1136455 TX Primary

Addresses

Primary practice location

1102 W Trenton Rd
Edinburg, TX 78539-9105

Mailing address

106 Ottumwa St
Mission, TX 78572-6358
Phone (956) 258-8302

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240208002658 TX Practitioner - Nurse Practitioner 4981047776 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Rio Valley Emergency Physician Associates PLLC CurrentSince Jan 8, 2024 Accepting new patients
Nueces Emergency Medicine Associates PA CurrentSince Dec 28, 2024 Accepting new patients
Edinburg Emergency Medicine Associates PA CurrentSince Aug 11, 2024 Accepting new patients

Locations

3533 S Alameda St
Corpus Christi, TX 78411
Phone (361) 694-5445

1102 W Trenton Rd
Edinburg, TX 78539
Phone (956) 388-6500

2820 W Michaelangelo Dr
Edinburg, TX 78539
Phone (956) 342-0485

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1695600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695600000000",
    "number": "1275312852",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "106 OTTUMWA ST",
            "city": "MISSION",
            "state": "TX",
            "postal_code": "785726358",
            "telephone_number": "956-258-8302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1102 W TRENTON RD",
            "city": "EDINBURG",
            "state": "TX",
            "postal_code": "785399105",
            "telephone_number": "956-388-6900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CASTILLO MARTINEZ",
        "first_name": "JESUS",
        "middle_name": "EDUARDO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-09-25",
        "last_updated": "2023-09-25",
        "certification_date": "2023-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0222X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics, Critical Care",
            "state": "TX",
            "license": "1136455",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Edinburg, TX

Sources for this page

Verify at the official NPI Registry.