Individual provider Active NPI

Iris K Castillo, DO

  • Pediatrics Physician
  • Maumee, OH
National Provider Identifier
1326380650
Registry record updated Apr 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
34.011488 Issued in OH
Practice address
500 The Blvd Ste 504
Maumee, OH 43537-7573
Phone
(419) 389-1444
NPI assigned
Mar 25, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 34.011488 OH Primary

Addresses

Primary practice location

500 The Blvd Ste 504
Maumee, OH 43537-7573

Mailing address

6855 Spring Valley Dr
Holland, OH 43528-8039
Phone (419) 389-1444

Other practice location 1

970 W Wooster St Rm 130
Bowling Green, OH 43402-2652
Phone (419) 352-6890

Other identifiers 1

IdentifierTypeStateIssuer
0173570MedicaidOH

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address icastillo67534@direct.chmca.org Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20220930002864 OH Practitioner - Pediatric Medicine 9133421910 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Northwest Pediatric Specialists, LLC Pediatrics CurrentSince Nov 1, 2022 Accepting new patients
Children'S Hospital Medical Center of Akron Pediatrics PastSince Mar 1, 2021 Accepting new patients
Children'S Hospital Medical Center of Akron PastSince Mar 1, 2021 Accepting new patients

Locations

970 W Wooster St
Rm 130
Bowling Green, OH 43402
Phone (419) 352-5899

700 Childrens Dr
Columbus, OH 43205
Phone (614) 722-4411

6855 Spring Valley Dr
Ste 125
Holland, OH 43528
Phone (419) 389-0492

6855 Spring Valley Dr
Holland, OH 43528
Phone (419) 389-0492

500 The Blvd
Ste 504
Maumee, OH 43537
Phone (419) 389-1444

3521 Briarfield Blvd
Maumee, OH 43537
Phone (419) 794-7259

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/2229/brand/3/csg/621/fhir/r4
  • FHIR API: https://hkc.nationwidechildrens.org/FHIR/MYCHART/api/FHIR/R4

Organizations & group practices 3

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": "1364169600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775520000000",
    "number": "1326380650",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6855 SPRING VALLEY DR",
            "city": "HOLLAND",
            "state": "OH",
            "postal_code": "435288039",
            "telephone_number": "419-389-1444",
            "fax_number": "419-389-6755"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 THE BLVD STE 504",
            "city": "MAUMEE",
            "state": "OH",
            "postal_code": "435377573",
            "telephone_number": "419-389-1444"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "970 W Wooster St Rm 130",
            "address_purpose": "LOCATION",
            "city": "Bowling Green",
            "state": "OH",
            "postal_code": "434022652",
            "country_code": "US",
            "telephone_number": "419-352-6890",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CASTILLO",
        "first_name": "IRIS",
        "middle_name": "K",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-03-25",
        "last_updated": "2026-04-07",
        "certification_date": "2026-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "OH",
            "license": "34.011488",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0173570",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "icastillo67534@direct.chmca.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1120 George Rd",
            "city": "Ashland",
            "state": "OH",
            "country_code": "US",
            "postal_code": "448058957",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Maumee, OH

Sources for this page

Verify at the official NPI Registry.