Active NPI
Jessica Margaret Castillo, MD
- Internal Medicine Physician
- Estero, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- ME165830
- Practice address
- 23450 Via Coconut PT
Estero, FL 34135-1877 - Phone
- (239) 468-0150
- Fax
- (239) 343-4056
- NPI assigned
- Feb 19, 2019
- Last updated
- Apr 3, 2024
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 34985 | PR | |
| Internal Medicine Physician | 207R00000X | 23486 | PR | |
| Internal Medicine Physician | 207R00000X | ME165830 | FL | Primary |
Addresses
Primary practice location
23450 Via Coconut PT
Estero, FL 34135-1877
Mailing address
PO Box 2147
Fort Myers, FL 33902-2147
Phone (239) 468-0150
Other practice location 1
Cond. Seaview Km 7.5 carr. 102 apt AJ-1
Mayaguez, PR 00682-5948
Phone (305) 335-8820
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 121341500 | Medicaid | FL |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | jcastillo393815@Direct.leememorial.org | Direct | Lee Memorial Health System |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Center for Physical Rehabilitation Inc
Practice addresses (Care Compare)
1138 Country Club Blvd
Cape Coral, FL 33990-3027
Phone (239) 424-1900
23450 Via Coconut PT
Estero, FL 34135-1877
Phone (239) 468-0120
5060 Cascade Rd
Suite a
Grand Rapids, MI 49546-3808
5060 Cascade Rd SE
Suite a
Grand Rapids, MI 49546-3808
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 23486 | PR | MD | Internal Medicine Physician |
| 34985 | PR | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lee Memorial Health System | Current | Accepting new patients | |
| Lee Health System Inc | Current | Accepting new patients | |
| Lee Memorial Health System | Current | Accepting new patients | |
| Lee Health System Inc | Internal Medicine | Current | Accepting new patients |
| Lee Memorial Health System | Internal Medicine | Current | Accepting new patients |
Locations
1138 Country Club Blvd
Cape Coral, FL 33990
Phone (239) 424-1900
2441 Surfside Blvd
Ste 200
Cape Coral, FL 33914
Phone (239) 541-7500
23450 Via Coconut Pt
Estero, FL 34135
Phone (239) 468-0150
1569 Matthew Dr
Fort Myers, FL 33907
Phone (941) 939-1700
2776 Cleveland Ave
Fort Myers, FL 33901
Phone (239) 343-2000
8931 Colonial Center Dr
Ste 401
Fort Myers, FL 33905
Phone (239) 424-2030
8960 Colonial Center Dr
Ste 300
Fort Myers, FL 33905
Phone (239) 343-9470
9131 College Pointe Ct
Fort Myers, FL 33919
Phone (239) 343-9100
930 S Main St
Ste C
Labelle, FL 33935
Phone (239) 674-5520
Interoperability endpoints
- jcastillo393815@direct.leememorial.org
Organizations & group practices 6
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Internal Medicine Physician
- Fort Myers, FL
- NPI 1942058557
-
- Internal Medicine Physician
- Fort Myers, FL
- NPI 1992873319
-
- Physical Therapy Clinic/Center
- Grand Rapids, MI
- NPI 1902288863
-
dba Lee Health Specialty Pharmacy
- Community/Retail Pharmacy
- Bonita Springs, FL
- NPI 1699510925
-
dba LCH-Golisano Peds PC Bayshore
- Federally Qualified Health Center (FQHC)
- Port Charlotte, FL
- NPI 1255171765
-
dba LCH- Pediatric Ophthalmology
- Federally Qualified Health Center (FQHC)
- Fort Myers, FL
- NPI 1770165920
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba The Roads Home Health Southwest Florida
- Home Health Agency
- Fort Myers, FL
- NPI 1144514696
-
dba Gulf Coast Medical Center
- General Acute Care Hospital
- Fort Myers, FL
- NPI 1366281750
-
dba Lee Memorial Hospital
- General Acute Care Hospital
- Fort Myers, FL
- NPI 1427806025
-
dba Cape Coral Hospital
- General Acute Care Hospital
- Cape Coral, FL
- NPI 1780429076
-
dba Navigate Home Health Care LLC
- Home Health Agency
- Cape Coral, FL
- NPI 1164109534
-
dba Preferred Care Home Health Services
- Home Health Agency
- Fort Myers, FL
- NPI 1245409010
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1550534400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1712102400000",
"number": "1376009910",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2147",
"city": "FORT MYERS",
"state": "FL",
"postal_code": "339022147",
"telephone_number": "239-468-0150",
"fax_number": "239-343-4056"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "23450 VIA COCONUT PT",
"city": "ESTERO",
"state": "FL",
"postal_code": "341351877",
"telephone_number": "239-468-0150",
"fax_number": "239-343-4056"
}
],
"practiceLocations": [
{
"address_1": "Cond. Seaview Km 7.5 carr. 102 apt AJ-1",
"address_purpose": "LOCATION",
"city": "Mayaguez",
"state": "PR",
"postal_code": "006825948",
"country_code": "US",
"telephone_number": "305-335-8820",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CASTILLO",
"first_name": "JESSICA",
"middle_name": "MARGARET",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-02-19",
"last_updated": "2024-04-03",
"certification_date": "2024-04-03",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "PR",
"license": "34985",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "PR",
"license": "23486",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "FL",
"license": "ME165830",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "121341500",
"state": "FL"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "jcastillo393815@Direct.leememorial.org",
"affiliation": "Y",
"affiliationName": "Lee Memorial Health System",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "2776 Cleveland Ave",
"city": "Fort Myers",
"state": "FL",
"country_code": "US",
"postal_code": "339015864",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Estero, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2024; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.