Individual provider Active NPI

Eduardo Castillo del Castillo, M.D.

  • Gastroenterology Physician
  • Columbia, MD
National Provider Identifier
1275743221
Registry record updated Jun 10, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
D0085459 Issued in MD
Practice address
7120 Minstrel Way Ste 100
Columbia, MD 21045-5274
Phone
(844) 814-5742
Fax
(866) 529-2897
NPI assigned
May 22, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X 25113 WV
Gastroenterology Physician 207RG0100X D0085459 MD Primary

Addresses

Primary practice location

7120 Minstrel Way Ste 100
Columbia, MD 21045-5274

Mailing address

7120 Minstrel Way Ste 100
Columbia, MD 21045-5274
Phone (844) 814-5742

Other identifiers 1

IdentifierTypeStateIssuer
751973OtherMDMEDICARE PTAN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, DC2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20190124000044 MD Practitioner - Gastroenterology 0143464149 Reassigns benefits to 3 organizations
I20230818002503 DC Practitioner - GastroenterologyPractitioner - Internal Medicine 0143464149 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
GastroenterologyAlso: Internal Medicine
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Gastro Center of Maryland LLCGroup PAC ID 7517972037, 23 clinicians

Practice addresses (Care Compare)

3405 Olandwood CT
Olney, MD 20832-1447
Phone (301) 570-8671

7120 Minstrel Way
Columbia, MD 21045-5274
Phone (410) 290-6677

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy92
Upper gastrointestinal (GI) endoscopy for acid reflux85

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Gastro Center of Maryland LLC Gastroenterology CurrentSince Dec 3, 2018 Accepting new patients
Cascades Endoscopy Center, LLC CurrentSince Mar 17, 2022 Accepting new patients
Annapolis Endoscopy Center LLC CurrentSince Mar 4, 2022 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients
Columbia Outpatient Sedation LLC Past Accepting new patients
Olney Endoscopy Center PastSince Feb 26, 2022 Accepting new patients

Locations

1419 Forest Dr
Ste 105
Annapolis, MD 21403

7120 Minstrel Way
Ste 100
Columbia, MD 21045
Phone (571) 210-4828

7120 Minstrel Way
Ste 200
Columbia, MD 21045

7120 Minstrel Way
Ste 101
Columbia, MD 21045

3405 Olandwood Ct
Ste 102
Olney, MD 20832
Phone (301) 570-8671

Organizations & group practices 6

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": "1179792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560124800000",
    "number": "1275743221",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7120 MINSTREL WAY STE 100",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210455274",
            "telephone_number": "844-814-5742",
            "fax_number": "866-529-2897"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7120 MINSTREL WAY STE 100",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210455274",
            "telephone_number": "844-814-5742",
            "fax_number": "866-529-2897"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CASTILLO DEL CASTILLO",
        "first_name": "EDUARDO",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-22",
        "last_updated": "2019-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "WV",
            "license": "25113",
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "MD",
            "license": "D0085459",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "751973",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, MD

Sources for this page

Verify at the official NPI Registry.