Individual provider Active NPI

Ivan G Castillo-Salazar, MD

  • Ophthalmology Physician
  • Waco, TX
National Provider Identifier
1316155443
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
M7090 Issued in TX
Practice address
7030 New Sanger Rd Ste 102
Waco, TX 76712-4073
Phone
(254) 753-7007
Fax
(254) 753-5225
NPI assigned
May 21, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X M7090 TX Primary

Addresses

Primary practice location

7030 New Sanger Rd Ste 102
Waco, TX 76712-4073

Mailing address

7030 New Sanger Rd Ste 102
Waco, TX 76712-4073
Phone (254) 753-7007

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20071018000608 TX Practitioner - Ophthalmology 6103912365 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Other, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Texas Retina AssociatesGroup PAC ID 7012969843, 18 clinicians

Practice addresses (Care Compare)

203 Archway Dr
Woodway, TX 76712-6105
Phone (254) 753-7007

Hospital & facility affiliations

  • Ascension Providence Hospital, Waco, TX, CCN 450042
  • Houston Methodist Hospital Hospital, Houston, TX, CCN 450358

Merit-based Incentive Payment System (MIPS)

Final score
89.17 of 100Reported as group
Quality
82.48
Promoting interoperability
96
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
M7090TXMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Texas Retina Associates Ophthalmology CurrentSince Feb 15, 2017 Accepting new patients
Texas Retina Associates Ophthalmology CurrentSince Feb 15, 2017 Accepting new patients
Texas Retina Associates Ophthalmology Current Accepting new patients
Duncan a Friedman MD PA Ophthalmology Past Accepting new patients
Thomas Omar Oei MD PA Ophthalmology PastSince Jun 1, 2002 Accepting new patients
Retina and Vitreous of Texas PLLC Ophthalmology Past Accepting new patients
Ascension Providence Past Accepting new patients
Barry a. Katzman, M.D., Inc Apc Past Accepting new patients

Locations

9600 N Central Expy
Ste 100
Dallas, TX 75231
Phone (214) 215-4627

7030 Sanger Rd
Ste 102
Waco, TX 76712
Phone (254) 399-9540

5800 Kell Blvd
Ste 100
Wichita Falls, TX 76310
Phone (940) 691-3232

203 Archway Dr
Woodway, TX 76712
Phone (254) 753-7007

Interoperability endpoints

  • Direct secure messaging: ivan.castillo@direct.texasretina.nextgenshare.com

Organizations & group practices 8

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 2

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": "1179705600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1316155443",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7030 NEW SANGER RD STE 102",
            "city": "WACO",
            "state": "TX",
            "postal_code": "767124073",
            "telephone_number": "254-753-7007",
            "fax_number": "254-753-5225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7030 NEW SANGER RD STE 102",
            "city": "WACO",
            "state": "TX",
            "postal_code": "767124073",
            "telephone_number": "254-753-7007",
            "fax_number": "254-753-5225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CASTILLO-SALAZAR",
        "first_name": "IVAN",
        "middle_name": "G",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-21",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "TX",
            "license": "M7090",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waco, TX

Sources for this page

Verify at the official NPI Registry.