Individual provider Active NPI

Peter Laurence Castro, M.D.

  • Anesthesiology Physician
  • Boulder, CO
National Provider Identifier
1316986581
Registry record updated Aug 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
44534 Issued in CO
Practice address
1100 Balsam Ave
Boulder, CO 80304-3404
Phone
(303) 422-9438
Fax
(303) 422-9474
NPI assigned
Jun 5, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X R5985 TX
Anesthesiology Physician 207L00000X 44534 CO Primary

Addresses

Primary practice location

1100 Balsam Ave
Boulder, CO 80304-3404

Mailing address

PO Box 668
Arvada, CO 80001-0668
Phone (303) 422-9438

Other identifiers 1

IdentifierTypeStateIssuer
44534OtherCOLICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO, TX2 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
I20060831000411 CO Practitioner - Anesthesiology 9436153590 Reassigns benefits to 3 organizations
I20230222002891 TX Practitioner - Anesthesiology 9436153590 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Vanderbilt University School of Medicine, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
CRH Anesthesia of Colorado, LLCGroup PAC ID 4587957311, 7 clinicians
Caw Anesthesia PLLCGroup PAC ID 6800337312, 4 clinicians
Performa Physical Medicine and WellnessGroup PAC ID 1456724418, 2 clinicians

Practice addresses (Care Compare)

1185 State Hwy 7
Suite 100
Broomfield, CO 80023-1014
Phone (303) 449-2730

1610 Dry Creek Dr
Longmont, CO 80503-6405
Phone (303) 772-1600

6435 S FM
549 Suite 103
Heath, TX 75032-6221
Phone (469) 338-5162

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
44534COMDAnesthesiology Physician
R5985TXMDPhysical Medicine & Rehabilitation Physician

Practice roles

OrganizationSpecialtyStatusNew patients
James E Jennings MD PC Anesthesiology CurrentSince Jun 1, 2024 Accepting new patients
Boulder Valley Anesthesiology, PLLC Anesthesiology CurrentSince Jun 1, 2006 Accepting new patients
Performa Physical Medicine and Wellness Anesthesiology CurrentSince Nov 11, 2022 Accepting new patients
Caw Anesthesia, PLLC Anesthesiology CurrentSince Jun 24, 2024 Accepting new patients
CP Middleton, MD PA PastSince Nov 11, 2022 Accepting new patients

Locations

1100 Balsam Ave
Boulder, CO 80304
Phone (303) 415-7000

4747 Arapahoe Ave
Boulder, CO 80303
Phone (303) 415-7000

1185 State Highway 7
Ste 100
Broomfield, CO 80023
Phone (425) 803-3885

1610 Dry Creek Dr
Longmont, CO 80503
Phone (720) 494-4750

10170 Church Ranch Way
Westminster, CO 80021
Phone (303) 328-3400

6435 S FM 549
Ste 103
Heath, TX 75032
Phone (469) 338-5162

6435 S FM 549
Ste 102
Rockwall, TX 75032
Phone (303) 845-2392

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1149465600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692144000000",
    "number": "1316986581",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 668",
            "city": "ARVADA",
            "state": "CO",
            "postal_code": "800010668",
            "telephone_number": "303-422-9438",
            "fax_number": "303-422-9474"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 BALSAM AVE",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803043404",
            "telephone_number": "303-422-9438",
            "fax_number": "303-422-9474"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CASTRO",
        "first_name": "PETER",
        "middle_name": "LAURENCE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-05",
        "last_updated": "2023-08-16",
        "certification_date": "2023-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "TX",
            "license": "R5985",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "CO",
            "license": "44534",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "44534",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Boulder, CO

Sources for this page

Verify at the official NPI Registry.