Active NPI
J Eric D Castro, MD
- Emergency Medicine Physician
- Libertyville, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 036103419
- Practice address
- 1105 W Park Ave Ste 7
Libertyville, IL 60048-2567 - Phone
- (847) 773-0369
- Fax
- (847) 201-2573
- NPI assigned
- Jul 10, 2006
- Last updated
- Oct 20, 2023
- 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 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Procedural Dermatology Physician | 207NS0135X | 036103419 | IL | |
| Procedural Dermatology Physician | 207NS0135X | 71511 | AZ | |
| Emergency Medicine Physician | 207P00000X | 53459-20 | WI | |
| Emergency Medicine Physician | 207P00000X | 036103419 | IL | Primary |
| Obesity Medicine (Preventive Medicine) Physician | 2083B0002X | 036103419 | IL |
Addresses
Primary practice location
1105 W Park Ave Ste 7
Libertyville, IL 60048-2567
Mailing address
2260 Churchill Cir
Libertyville, IL 60048-4298
Phone (773) 771-4160
Other practice location 1
530 Park Ave East
Dept of Emergency Medicine
Princeton, IL 61356
Phone (815) 876-4411
Other practice location 2
2400 N. Rockton Ave
Dept of Emergency Medicine
Rockford, IL 61103
Phone (815) 971-5000
Other practice location 3
450 W Highway 22
Department of Emergency Medicine
Barrington, IL 60010-1919
Phone (847) 842-4444
Other practice location 4
4805 S Moorland Rd
New Berlin, WI 53151-7401
Phone (262) 798-7200
Other practice location 5
1 Kish Hospital Dr.
Department of Emergency Medicine
DeKalb, IL 60115
Phone (815) 756-1521
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316971807 | Medicaid | WI | |
| P00264268 | Other | IL | RAILROAD MEDICARE |
| 1316971807 | Other | WI | BLUE CROSS BLUE SHIELD |
| 036103419 | Medicaid | IL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL, WI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Emergency Medicine
- Education
- University of Illinois College of Med (CHI/Peor/Rock/CHM-Urb), 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Hoopeston Community Memorial Hospital
Practice addresses (Care Compare)
2000 Ogden Ave
Aurora, IL 60504-7222
Phone (630) 978-6200
350 N Wall St
Kankakee, IL 60901-2901
Phone (815) 933-1671
701 E Orange St
Hoopeston, IL 60942-1801
Phone (708) 393-7537
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 71511 | AZ | MD | Procedural Dermatology Physician |
| 036103419 | IL | MD | Emergency Medicine Physician |
| 53459-20 | WI | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rockford Health Physicians | Current | Accepting new patients | |
| Hoopeston Community Memorial Hospital | Emergency Medicine | Current | Accepting new patients |
| Froedtert &the Medical College of Wisconsin Community Physicians, Inc. | Current | Accepting new patients | |
| RMH Pathologists, LTD | Current | Accepting new patients | |
| Belvidere Emergency Physicians, LLC | Emergency Medicine | Current | Accepting new patients |
| Hoopeston Emergency Medicine Specialists, LTD. | Emergency Medicine | Current | Accepting new patients |
| Hoopeston Community Memorial Hospital | Current | Accepting new patients | |
| Aurora Emergency Physicians, LLC | Emergency Medicine | Current | Accepting new patients |
| Vernon Memorial Healthcare, Inc. | Current | Accepting new patients | |
| Aurora Emergency Physicians, LLC | Emergency Medicine | Current | Accepting new patients |
| Riverside Emergency Physicians, LLC | Emergency Medicine | Current | Accepting new patients |
| Froedtert &the Medical College of Wisconsin Community Physicians, Inc. | Current | Accepting new patients | |
| Hoopeston Community Memorial Hospital | Current | Accepting new patients | |
| Mercy Health System Corporation | Current | Accepting new patients | |
| Rockford Emergency Physicians, LLC | Emergency Medicine | Current | Accepting new patients |
| The Medical College of Wisconsin, Inc. | Emergency Medicine | Current | Accepting new patients |
| Mercy Health System Corporation | Current | Accepting new patients | |
| Heart Emergency Physicians, LLP | Emergency Medicine | Past | Accepting new patients |
| Boniface Orthopaedics, Inc. | Past | Accepting new patients | |
| Emergency Healthcare Physicians, LTD. | Past | Accepting new patients |
Locations
2000 Ogden Ave
Aurora, IL 60504
Phone (630) 466-8200
1625 S State St
Belvidere, IL 61008
Phone (815) 544-1846
29624 Network Pl
Chicago, IL 60673
Phone (608) 741-7652
348 S Division St
Harvard, IL 60033
Phone (815) 943-1122
901 Grant St
Harvard, IL 60033
Phone (815) 943-2961
1555 N Barrington Rd
Hoffman Estates, IL 60169
Phone (847) 490-2923
701 E Orange St
Hoopeston, IL 60942
Phone (217) 283-5531
350 N Wall St
Kankakee, IL 60901
Phone (815) 935-7500
1401 E State St
Rockford, IL 61104
Phone (815) 489-4267
2300 N Rockton Ave
Rockford, IL 61103
Phone (815) 971-5510
2400 N Rockton Ave
Rockford, IL 61103
Phone (815) 971-6310
1302 N Main St
Sandwich, IL 60548
Phone (815) 486-8484
450 W State Route 22
South Barrington, IL 60010
Phone (847) 381-0123
1122 W Veterans Pkwy
Yorkville, IL 60560
Phone (630) 466-8200
W168N11237 Western Ave
Germantown, WI 53022
Phone (262) 253-5060
3237 S 16th St
Milwaukee, WI 53215
Phone (414) 647-5000
5000 W Chambers St
Milwaukee, WI 53210
Phone (414) 447-2089
4805 S Moorland Rd
New Berlin, WI 53151
Phone (262) 798-7200
507 S Main St
Viroqua, WI 54665
Phone (608) 637-2101
10000 W Bluemound Rd
Wauwatosa, WI 53226
Phone (414) 456-3000
1155 N Mayfair Rd
Wauwatosa, WI 53226
Phone (414) 955-5990
8701 Watertown Plank Rd
Wauwatosa, WI 53226
Phone (414) 456-4100
Interoperability endpoints
- https://api.platform.athenahealth.com/14272/brand/70/csg/1/fhir/r4
- jcastro538236@direct.emplifyhealth.org
- jcastromd319100@carlehiedirect.net
Organizations & group practices 21
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.
-
- Emergency Medicine Physician
- Yorkville, IL
- NPI 1407379423
-
- Emergency Medicine Physician
- Hoopeston, IL
- NPI 1316965197
-
- Emergency Medicine Physician
- Kankakee, IL
- NPI 1548969181
-
- Emergency Medicine Physician
- Belvidere, IL
- NPI 1306543319
-
dba Hoopeston Physician Group
- Internal Medicine Physician
- Hoopeston, IL
- NPI 1043683014
Emergency Medicine
-
- Critical Access Hospital
- Hoopeston, IL
- NPI 1366480873
-
- Emergency Medicine Physician
- Rockford, IL
- NPI 1639876634
-
dba Mercyhealth Physicians
- Multi-Specialty Clinic/Center
- Rockford, IL
- NPI 1043242886
-
- Internal Medicine Physician
- Menomonee Falls, WI
- NPI 1568787448
-
dba MHS Physician Services
- Multi-Specialty Clinic/Center
- Janesville, WI
- NPI 1598718603
IL
-
- Internal Medicine Physician
- Milwaukee, WI
- NPI 1699720086
Emergency Medicine
-
dba Vernon Health
- Critical Access Hospital
- Viroqua, WI
- NPI 1497750921
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Aurora, IL
- NPI 1295882561
-
dba Hoopeston Community Ambulance
- Ambulance
- Hoopeston, IL
- NPI 1164594594
Hospital
-
- Critical Access Hospital
- Hoopeston, IL
- NPI 1366480873
-
- General Acute Care Hospital
- Kankakee, IL
- NPI 1538208210
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152489600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1697760000000",
"number": "1316971807",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2260 CHURCHILL CIR",
"city": "LIBERTYVILLE",
"state": "IL",
"postal_code": "600484298",
"telephone_number": "773-771-4160"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1105 W PARK AVE STE 7",
"city": "LIBERTYVILLE",
"state": "IL",
"postal_code": "600482567",
"telephone_number": "847-773-0369",
"fax_number": "847-201-2573"
}
],
"practiceLocations": [
{
"address_1": "530 Park Ave East",
"address_2": "Dept of Emergency Medicine",
"address_purpose": "LOCATION",
"city": "Princeton",
"state": "IL",
"postal_code": "61356",
"country_code": "US",
"telephone_number": "815-876-4411",
"fax_number": "815-876-4471",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2400 N. Rockton Ave",
"address_2": "Dept of Emergency Medicine",
"address_purpose": "LOCATION",
"city": "Rockford",
"state": "IL",
"postal_code": "61103",
"country_code": "US",
"telephone_number": "815-971-5000",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "450 W Highway 22",
"address_2": "Department of Emergency Medicine",
"address_purpose": "LOCATION",
"city": "Barrington",
"state": "IL",
"postal_code": "600101919",
"country_code": "US",
"telephone_number": "847-842-4444",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "4805 S Moorland Rd",
"address_purpose": "LOCATION",
"city": "New Berlin",
"state": "WI",
"postal_code": "531517401",
"country_code": "US",
"telephone_number": "262-798-7200",
"fax_number": "262-798-7271",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1 Kish Hospital Dr.",
"address_2": "Department of Emergency Medicine",
"address_purpose": "LOCATION",
"city": "DeKalb",
"state": "IL",
"postal_code": "60115",
"country_code": "US",
"telephone_number": "815-756-1521",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CASTRO",
"first_name": "J ERIC",
"middle_name": "D",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-10",
"last_updated": "2023-10-20",
"certification_date": "2023-10-20",
"status": "A"
},
"taxonomies": [
{
"code": "207NS0135X",
"taxonomy_group": "",
"desc": "Dermatology, Procedural Dermatology",
"state": "IL",
"license": "036103419",
"primary": false
},
{
"code": "207NS0135X",
"taxonomy_group": "",
"desc": "Dermatology, Procedural Dermatology",
"state": "AZ",
"license": "71511",
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "WI",
"license": "53459-20",
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "IL",
"license": "036103419",
"primary": true
},
{
"code": "2083B0002X",
"taxonomy_group": "",
"desc": "Preventive Medicine, Obesity Medicine",
"state": "IL",
"license": "036103419",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1316971807",
"state": "WI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00264268",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "1316971807",
"state": "WI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "036103419",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Libertyville, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2023; 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.