Organization Active NPI

A. C. Ojascastro Inc.

  • Internal Medicine Physician
  • Saint Louis, MO
National Provider Identifier
1356476758
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
A. C. OJASCASTRO INC.
Practice address
4130 S Grand Blvd Ste a
Saint Louis, MO 63118-3420
Phone
(314) 353-2211
Fax
(314) 353-6122
NPI assigned
Feb 23, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Authorized official

Name
Robert Ojascastro
Title
Business Manager
Phone
(314) 353-2211

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

4130 S Grand Blvd Ste a
Saint Louis, MO 63118-3420

Mailing address

4130 S Grand Blvd Ste a
Saint Louis, MO 63118-3420
Phone (314) 353-2211

Other identifiers 1

IdentifierTypeStateIssuer
502434202MedicaidMO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100520000054 MO Part B Supplier - Clinic/Group Practice 5092844613 Receives reassigned benefits from 1 practitioner
Practice locations: Saint Louis, MO

National Provider Directory

National Provider Directory

Locations

4130 S Grand Blvd
#A
Saint Louis, MO 63118
Phone (314) 353-2211

4130 S Grand Blvd
Saint Louis, MO 63118
Phone (314) 353-2211

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1172188800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1356476758",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4130 S GRAND BLVD STE A",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631183420",
            "telephone_number": "314-353-2211",
            "fax_number": "314-353-6122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4130 S GRAND BLVD STE A",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631183420",
            "telephone_number": "314-353-2211",
            "fax_number": "314-353-6122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "A. C. OJASCASTRO INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-23",
        "last_updated": "2025-09-11",
        "certification_date": "2025-02-13",
        "status": "A",
        "authorized_official_last_name": "OJASCASTRO",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "BUSINESS MANAGER",
        "authorized_official_telephone_number": "314-353-2211"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "502434202",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Louis, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.