Individual provider Active NPI

Anabel C Castro, MD

  • Family Medicine Physician
  • Jacksonville, FL
National Provider Identifier
1275790982
Registry record updated Aug 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
ME101546 Issued in FL
Practice address
9310 Old Kings Rd S Ste 1303
Jacksonville, FL 32257-8100
Phone
(904) 900-3472
Fax
(904) 503-2373
NPI assigned
May 20, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X ME101546 FL Primary

Addresses

Primary practice location

9310 Old Kings Rd S Ste 1303
Jacksonville, FL 32257-8100

Mailing address

9310 Old Kings Rd S Ste 1303
Jacksonville, FL 32257-8100
Phone (904) 900-3472

Other identifiers 1

IdentifierTypeStateIssuer
003171400MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20081013000096 FL Practitioner - Family Practice 5991873341 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Cornerstone Family Medicine LLCGroup PAC ID 6608010384, 2 clinicians

Practice addresses (Care Compare)

9310 Old Kings Rd S
Suite 1303
Jacksonville, FL 32257-8100
Phone (904) 900-3472

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME101546FLMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Inpatient Consultants of Florida Inc CurrentSince Sep 10, 2013 Accepting new patients
Inpatient Consultants of Florida, Inc CurrentSince Sep 10, 2013 Accepting new patients
North Florida Multispecialty Physicians LLC Family Medicine Past Accepting new patients
Cantrell Cornerstone Clinic, LLC Family Medicine PastSince Jul 24, 2022 Accepting new patients

Locations

1200 Riverplace Blvd
Ste 620
Jacksonville, FL 32207
Phone (904) 396-6620

6000 49th St N
St Petersburg, FL 33709
Phone (727) 521-4411

3030 W Bearss Ave
Tampa, FL 33618
Phone (813) 932-2222

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/JCHICA

Organizations & group practices 5

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 1

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": "1211241600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628726400000",
    "number": "1275790982",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9310 OLD KINGS RD S STE 1303",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322578100",
            "telephone_number": "904-900-3472",
            "fax_number": "904-503-2373"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9310 OLD KINGS RD S STE 1303",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322578100",
            "telephone_number": "904-900-3472",
            "fax_number": "904-503-2373"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CASTRO",
        "first_name": "ANABEL",
        "middle_name": "C",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-05-20",
        "last_updated": "2021-08-12",
        "certification_date": "2021-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME101546",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003171400",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

Verify at the official NPI Registry.