Active NPI
Iris K Castillo, DO
- Pediatrics Physician
- Maumee, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 34.011488
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0173570 | Medicaid | OH |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northwest Pediatric Specialists, LLC | Pediatrics | Current | Accepting new patients |
| Children'S Hospital Medical Center of Akron | Pediatrics | Past | Accepting new patients |
| Children'S Hospital Medical Center of Akron | Past | 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
- https://api.platform.athenahealth.com/2229/brand/3/csg/621/fhir/r4
- 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.
-
- Pediatrics Physician
- Toledo, OH
- NPI 1033709100
-
- Home Infusion Agency
- Akron, OH
- NPI 1649485848
-
- Pediatrics Physician
- Akron, OH
- NPI 1841328853
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2026; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.