Organization Active NPI

Orlando a. Castillo M.D. and Associates

  • Specialist
  • Media, PA
National Provider Identifier
1386809077
Registry record updated Jul 25, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
MD051044L Issued in PA
Legal business name
ORLANDO A. CASTILLO M.D. AND ASSOCIATES
Practice address
1098 W Baltimore Pike
Suite 3303 RMH Op Pavilion
Media, PA 19063
Phone
(610) 532-1300
Fax
(610) 399-4675
NPI assigned
Jul 23, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2018

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

Authorized official

Name
Dr. Orlando Alfonso Castillo, M.D.NPI 1447250162
Title
President
Phone
(610) 532-1300

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X MD051044L PA Primary

Addresses

Primary practice location

1098 W Baltimore Pike
Suite 3303 RMH Op Pavilion
Media, PA 19063

Mailing address

42 Strickland Way
Glen Mills, PA 19342-1667
Phone (610) 532-1300

Other identifiers 2

IdentifierTypeStateIssuer
30057797OtherPAKMHP-KEYTONE FIRST
8519065OtherPAAETNA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20081223000571 PA Part B Supplier - Clinic/Group Practice 1254493398 Receives reassigned benefits from 1 practitioner
Practice locations: Media, PA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1216771200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1532476800000",
    "number": "1386809077",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "42 STRICKLAND WAY",
            "city": "GLEN MILLS",
            "state": "PA",
            "postal_code": "193421667",
            "telephone_number": "610-532-1300",
            "fax_number": "610-399-4675"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1098 W BALTIMORE PIKE",
            "address_2": "SUITE 3303 RMH OP PAVILION",
            "city": "MEDIA",
            "state": "PA",
            "postal_code": "19063",
            "telephone_number": "610-532-1300",
            "fax_number": "610-399-4675"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORLANDO A. CASTILLO M.D. AND ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-23",
        "last_updated": "2018-07-25",
        "status": "A",
        "authorized_official_last_name": "CASTILLO",
        "authorized_official_first_name": "ORLANDO",
        "authorized_official_middle_name": "ALFONSO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "610-532-1300",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "PA",
            "license": "MD051044L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KMHP-KEYTONE FIRST",
            "identifier": "30057797",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "8519065",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Media, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2018; 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.