Active NPI
Maria C Castellano, M.D.
- Gastroenterology Physician
- Valdosta, GA
National Provider Identifier
1306950100
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- License
- 045419
- Practice address
- 2418 N Oak St
Suite G
Valdosta, GA 31602-2576 - Phone
- (229) 588-4688
- Fax
- (229) 588-4468
- NPI assigned
- Aug 18, 2006
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | 045419 | GA | Primary |
Addresses
Primary practice location
2418 N Oak St
Suite G
Valdosta, GA 31602-2576
Mailing address
2418 N Oak St
Suite G
Valdosta, GA 31602-2576
Phone (229) 588-4688
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 674370634A | Medicaid | GA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
- 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
- Gastroenterology
- Education
- Other, 1990
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
2501 N Patterson St
Valdosta, GA 31602-1735
Phone (229) 588-4688
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 201 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 183 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Vincent Rovito | Gastroenterology | Past | Accepting new patients |
| Matthew Joel Guy, MD, PC | Gastroenterology | Past | Accepting new patients |
| LMC Physician Services, PC | Gastroenterology | Past | Accepting new patients |
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.
-
- Gastroenterology Physician
- Valdosta, GA
- NPI 1568789329
-
- Gastroenterology Physician
- Neponsit, NY
- NPI 1902089501
-
- Gastroenterology Physician
- Brooklyn, NY
- NPI 1245658160
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba SGMC Health
- General Acute Care Hospital
- Valdosta, GA
- NPI 1144096553
-
dba SGMC Health Lanier
- Critical Access Hospital
- Lakeland, GA
- NPI 1215703632
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155859200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1296691200000",
"number": "1306950100",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2418 N OAK ST",
"address_2": "SUITE G",
"city": "VALDOSTA",
"state": "GA",
"postal_code": "316022576",
"telephone_number": "229-588-4688",
"fax_number": "229-588-4468"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2418 N OAK ST",
"address_2": "SUITE G",
"city": "VALDOSTA",
"state": "GA",
"postal_code": "316022576",
"telephone_number": "229-588-4688",
"fax_number": "229-588-4468"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CASTELLANO",
"first_name": "MARIA",
"middle_name": "C",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-08-18",
"last_updated": "2011-02-03",
"status": "A"
},
"taxonomies": [
{
"code": "207RG0100X",
"taxonomy_group": "",
"desc": "Internal Medicine, Gastroenterology",
"state": "GA",
"license": "045419",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "674370634A",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Valdosta, GA
- Laura Elizabeth Carter, FNP-BC
- Meagan Graham Carter, M.ED., CCC-SLP
- Jennifer Lynn Cason, FNP-C
- Meghan Clark Cassidy, L.M.S.W.
- Maria Guadalupe Castaneda, LMSW
- Lauren Melissa Castillo, FNP
- Cataract and Laser Surgery Center of South Georgia, P.C.
- Elizabeth Cavender, APC
- Cazales Autism Services
- Jennifer Cazales, BCBA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2011; 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.