Individual provider Active NPI

Noel M Castillo, MD

  • Ophthalmology Physician
  • Olympia, WA
National Provider Identifier
1316404999
Registry record updated Mar 1, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
MD60847735 Issued in WA
Practice address
215 Lilly Rd NE
Olympia, WA 98506-5030
Phone
(360) 456-4800
Fax
(360) 413-9476
NPI assigned
Mar 1, 2019
Last updated
Mar 1, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 1, 2019

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 MD60847735 WA Primary

Addresses

Primary practice location

215 Lilly Rd NE
Olympia, WA 98506-5030

Mailing address

215 Lilly Rd NE
Olympia, WA 98506-5030
Phone (360) 456-4800

Other identifiers 1

IdentifierTypeStateIssuer
MD60847735OtherWASTATE MEDICAL LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
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
I20190331000000 WA Practitioner - Ophthalmology 8325389323 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Other, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Eye MDS of Puget Sound PLLCGroup PAC ID 4981696952, 6 clinicians

Practice addresses (Care Compare)

4707 S 19TH St
Suite 210
Tacoma, WA 98405-1151
Phone (253) 248-2020

Merit-based Incentive Payment System (MIPS)

Final score
96.13 of 100Reported as group
Quality
100
Improvement activities
40
Cost
87.11

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery70

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Eye MDS of Puget Sound PLLC Ophthalmology CurrentSince Oct 1, 2021 Accepting new patients
Narrows Surgery Center PS CurrentSince Jan 17, 2023 Accepting new patients
Narrows Surgery Center PS CurrentSince Jan 17, 2023 Accepting new patients
Eye MDS of Puget Sound, PLLC CurrentSince Oct 1, 2021 Accepting new patients
Body & Mind Rehab Inc PastSince Dec 20, 2021 Accepting new patients

Locations

2401 Bristol Ct SW
Ste B101
Olympia, WA 98502
Phone (253) 272-4600

4707 S 19th St
Lowr
Tacoma, WA 98405
Phone (253) 248-2020

4707 S 19th St
Ste 210
Tacoma, WA 98405
Phone (253) 248-2020

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1551398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1551398400000",
    "number": "1316404999",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "215 LILLY RD NE",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985065030",
            "telephone_number": "360-456-4800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 LILLY RD NE",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985065030",
            "telephone_number": "360-456-4800",
            "fax_number": "360-413-9476"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CASTILLO",
        "first_name": "NOEL",
        "middle_name": "M",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-03-01",
        "last_updated": "2019-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "WA",
            "license": "MD60847735",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE MEDICAL LICENSE",
            "identifier": "MD60847735",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Olympia, WA

Sources for this page

Verify at the official NPI Registry.