Individual provider Active NPI

Cristina Michelle Castro-Rivera, MDPHD

  • Internal Medicine Physician
  • Boston, MA
National Provider Identifier
1336723204
Registry record updated Jul 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
T289577 Issued in MA
Practice address
Beth Israel Deaconess Medical Center
Internal Medicine Residency Training Program- Deac 307C
Boston, MA 02215
Phone
(617) 632-8310
Fax
(617) 632-8261
NPI assigned
May 7, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 27, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Internal Medicine Physician 207R00000X T289577 MA Primary

Addresses

Primary practice location

Beth Israel Deaconess Medical Center
Internal Medicine Residency Training Program- Deac 307C
Boston, MA 02215

Mailing address

Internal Medicine Residency Training Program
330 Brookline Ave
Boston, MA 02215
Phone (617) 667-7000

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL BIDMC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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
I20210901002466 MA Order and Referring Only - Internal MedicinePractitioner - Internal Medicine 0042616906

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
T289577MAMDInternal Medicine Physician

NPI Registry JSON

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

{
    "created_epoch": "1620345600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1627344000000",
    "number": "1336723204",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "INTERNAL MEDICINE RESIDENCY TRAINING PROGRAM",
            "address_2": "330 BROOKLINE AVE",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "02215",
            "telephone_number": "617-667-7000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "BETH ISRAEL DEACONESS MEDICAL CENTER",
            "address_2": "INTERNAL MEDICINE RESIDENCY TRAINING PROGRAM- DEAC 307C",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "02215",
            "telephone_number": "617-632-8310",
            "fax_number": "617-632-8261"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CASTRO-RIVERA",
        "first_name": "CRISTINA",
        "middle_name": "MICHELLE",
        "credential": "MDPHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-05-07",
        "last_updated": "2021-07-27",
        "certification_date": "2021-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MA",
            "license": "T289577",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "BIDMC",
            "affiliation": "N",
            "address_1": "Beth Israel Deaconess Medical Center",
            "address_2": "Internal Medicine Residency Training Program- Deac 307C",
            "city": "BOSTON",
            "state": "MA",
            "country_code": "US",
            "postal_code": "02215",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Boston, MA

Sources for this page

Verify at the official NPI Registry.