Active NPI
Juan Ismael Castillo, M.D.
- Endocrinology, Diabetes & Metabolism Physician
- El Paso, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endocrinology, Diabetes & Metabolism Physician
- License
- U2452
- Practice address
- 9839 Kenworthy St Ste E
El Paso, TX 79924-4402 - Phone
- (915) 790-5700
- NPI assigned
- Apr 17, 2018
- Reactivated
- Jan 8, 2019
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Endocrinology, Diabetes & Metabolism Physician | 207RE0101X | U2452 | TX | Primary |
Addresses
Primary practice location
9839 Kenworthy St Ste E
El Paso, TX 79924-4402
Mailing address
2601 Ocean Parkway
Brooklyn, NY 11235
Phone (718) 616-3000
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
9839 Kenworthy St
Suite E
El Paso, TX 79924-4402
Phone (915) 790-5700
Hospital & facility affiliations
- University Medical Center of El Paso
Merit-based Incentive Payment System (MIPS)
- Final score
- 92 of 100
- Quality
- 90.22
- Promoting interoperability
- 95
- Improvement activities
- 40
- Cost
- 75.52
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| U2452 | TX | MD | Endocrinology, Diabetes & Metabolism Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| El Paso County Hospital District | Current | Accepting new patients | |
| El Paso County Hospital District | Current | Accepting new patients |
Locations
4815 Alameda Ave
El Paso, TX 79905
Phone (915) 215-6000
9839 Kenworthy St
Ste E
El Paso, TX 79924
Organizations & group practices 2
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.
-
- General Acute Care Hospital
- El Paso, TX
- NPI 1316936990
-
- General Acute Care Hospital
- El Paso, TX
- NPI 1619747938
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- El Paso, TX
- NPI 1316936990
-
- General Acute Care Hospital
- El Paso, TX
- NPI 1619747938
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1523923200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1726358400000",
"number": "1295222008",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2601 OCEAN PARKWAY",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "11235",
"telephone_number": "718-616-3000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9839 KENWORTHY ST STE E",
"city": "EL PASO",
"state": "TX",
"postal_code": "799244402",
"telephone_number": "915-790-5700"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CASTILLO",
"first_name": "JUAN",
"middle_name": "ISMAEL",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-04-17",
"last_updated": "2024-09-15",
"certification_date": "2024-09-15",
"deactivation_date": "2018-11-28",
"reactivation_date": "2019-01-08",
"status": "A"
},
"taxonomies": [
{
"code": "207RE0101X",
"taxonomy_group": "",
"desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
"state": "TX",
"license": "U2452",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in El Paso, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.