Individual provider Active NPI

J Eric D Castro, MD

  • Emergency Medicine Physician
  • Libertyville, IL
National Provider Identifier
1316971807
Registry record updated Oct 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
036103419 Issued in IL
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, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 20, 2023

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
1316971807MedicaidWI
P00264268OtherILRAILROAD MEDICARE
1316971807OtherWIBLUE CROSS BLUE SHIELD
036103419MedicaidIL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, WI2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20031218000215 IL Practitioner - Emergency Medicine 7719884527 Reassigns benefits to 10 organizations
I20090828000375 WI Practitioner - Family Practice 7719884527 Reassigns benefits to 3 organizations

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
Aurora Emergency Physicians LLCGroup PAC ID 1850657180, 44 clinicians
Riverside Emergency Physicians LLCGroup PAC ID 6204294119, 35 clinicians
Hoopeston Emergency Medicine Specialists LTDGroup PAC ID 0941102446, 12 clinicians
Hoopeston Community Memorial HospitalGroup PAC ID 3577456037, shared by 11 NPIs, 142 clinicians

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

LicenseStateTypeSpecialty
71511AZMDProcedural Dermatology Physician
036103419ILMDEmergency Medicine Physician
53459-20WIMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Rockford Health Physicians CurrentSince Jul 26, 2016 Accepting new patients
Hoopeston Community Memorial Hospital Emergency Medicine Current Accepting new patients
Froedtert &the Medical College of Wisconsin Community Physicians, Inc. CurrentSince Mar 1, 2020 Accepting new patients
RMH Pathologists, LTD Current Accepting new patients
Belvidere Emergency Physicians, LLC Emergency Medicine CurrentSince Sep 10, 2023 Accepting new patients
Hoopeston Emergency Medicine Specialists, LTD. Emergency Medicine CurrentSince Nov 1, 2020 Accepting new patients
Hoopeston Community Memorial Hospital CurrentSince Aug 10, 2021 Accepting new patients
Aurora Emergency Physicians, LLC Emergency Medicine CurrentSince Aug 1, 2024 Accepting new patients
Vernon Memorial Healthcare, Inc. CurrentSince Dec 1, 2025 Accepting new patients
Aurora Emergency Physicians, LLC Emergency Medicine CurrentSince Aug 1, 2024 Accepting new patients
Riverside Emergency Physicians, LLC Emergency Medicine CurrentSince Aug 1, 2024 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 CurrentSince Apr 29, 2018 Accepting new patients
Rockford Emergency Physicians, LLC Emergency Medicine CurrentSince Sep 10, 2023 Accepting new patients
The Medical College of Wisconsin, Inc. Emergency Medicine CurrentSince Oct 1, 2019 Accepting new patients
Mercy Health System Corporation CurrentSince Apr 29, 2018 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

  • FHIR API: https://api.platform.athenahealth.com/14272/brand/70/csg/1/fhir/r4
  • Direct secure messaging: jcastro538236@direct.emplifyhealth.org
  • Direct secure messaging: 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.

View all 21

Hospital & facility affiliations 4

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": "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

Verify at the official NPI Registry.