Individual provider Active NPI

Athena Castro, MD

  • Diagnostic Radiology Physician
  • Miami, FL
National Provider Identifier
1285138263
Registry record updated Oct 29, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
ME144505 Issued in FL
Practice address
1611 NW 12TH Ave
Miami, FL 33136-1005
Phone
(305) 585-7500
Fax
(305) 585-4613
NPI assigned
Mar 22, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Diagnostic Radiology Physician 2085R0202X ME144505 FL Primary

Addresses

Primary practice location

1611 NW 12TH Ave
Miami, FL 33136-1005

Mailing address

1611 NW 12TH Ave
Miami, FL 33136-1005
Phone (305) 585-7500

Other practice location 1

1611 NW 12th Ave
Miami, FL 33136
Phone (305) 585-5743

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, FL, PA3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20240228003772 OH Practitioner - Diagnostic Radiology 9537504642 Reassigns benefits to 2 organizations
I20240613002684 FL Practitioner - Diagnostic Radiology 9537504642 Reassigns benefits to 2 organizations
I20251212001767 PA Practitioner - Diagnostic Radiology 9537504642 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Columbus Radiology CorpGroup PAC ID 6507754983, 290 clinicians
Radiology Associates of Canton IncGroup PAC ID 7012829260, 35 clinicians
Aultman Now Urgent Care, LLCGroup PAC ID 7719318633, 43 clinicians

Practice addresses (Care Compare)

111 S Grant Ave
Ohiohealth Grant Medical Center
Columbus, OH 43215-4701
Phone (614) 228-7231

1746 Stevensan Dr
Sewickley, PA 15143-3603
Phone (330) 363-2842

2600 6TH St SW
Canton, OH 44710-1702
Phone (330) 452-9911

5320 Fishersound LN
Apollo Beach, FL 33572-3344
Phone (888) 522-4514

6100 Whipple Ave NW
North Canton, OH 44720-7618
Phone (330) 305-6999

6363 SW 87TH LN
Miami, FL 33156-1366
Phone (888) 522-4514

88 SW 7TH St
Apt 2307
Miami, FL 33130-3767
Phone (888) 522-4514

Hospital & facility affiliations

  • Aultman Hospital Hospital, Canton, OH, CCN 360084
  • Alliance Community Hospital Hospital, Alliance, OH, CCN 360131
  • Aultman Orrville Hospital Hospital, Orrville, OH, CCN 361323
  • Highland District Hospital Hospital, Hillsboro, OH, CCN 361332
  • Southwest General Health Center Hospital, Middleburg Heights, OH, CCN 360155

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME144505FLMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Radiology Associates of Canton, Inc. Diagnostic Radiology CurrentSince Sep 5, 2024 Accepting new patients
Aultman Now Urgent Care, LLC CurrentSince Mar 16, 2024 Accepting new patients
Columbus Radiology Corp Diagnostic Radiology CurrentSince Sep 1, 2025 Accepting new patients
Columbus Radiology Corp Diagnostic Radiology CurrentSince Jul 31, 2024 Accepting new patients

Locations

200 E State St
Alliance, OH 44601
Phone (330) 596-6000

2600 6th St SW
Canton, OH 44710
Phone (330) 363-2180

7066 Fulton Dr NW
Canton, OH 44718
Phone (330) 363-8567

111 S Grant Ave
Columbus, OH 43215
Phone (614) 461-3232

1275 N High St
Hillsboro, OH 45133
Phone (937) 393-5503

1909 Williamsburg Way NE
Louisville, OH 44641
Phone (234) 252-9181

2203 E Maple St
North Canton, OH 44720
Phone (330) 363-8580

6100 Whipple Ave NW
North Canton, OH 44720
Phone (330) 244-8778

832 S Main St
Orrville, OH 44667
Phone (330) 456-2695

Organizations & group practices 4

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 5

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": "1521676800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603929600000",
    "number": "1285138263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1611 NW 12TH AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331361005",
            "telephone_number": "305-585-7500",
            "fax_number": "305-585-4613"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1611 NW 12TH AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331361005",
            "telephone_number": "305-585-7500",
            "fax_number": "305-585-4613"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1611 NW 12th Ave",
            "address_purpose": "LOCATION",
            "city": "Miami",
            "state": "FL",
            "postal_code": "33136",
            "country_code": "US",
            "telephone_number": "305-585-5743",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CASTRO",
        "first_name": "ATHENA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-03-22",
        "last_updated": "2020-10-29",
        "certification_date": "2020-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "FL",
            "license": "ME144505",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.