Individual provider Active NPI

Edgar Alberto Castillo Dandreis, MD

  • Medical Oncology Physician
  • Delray Beach, FL
National Provider Identifier
1396974135
Registry record updated Dec 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Oncology PhysicianTaxonomy code 207RX0202X
License
144252 Issued in FL
Practice address
6282 Linton Blvd
Delray Beach, FL 33484-6416
Phone
(561) 495-8307
Fax
(561) 495-6422
NPI assigned
Jul 14, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 15, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Oncology Physician 207RX0202X 144252 FL Primary
Internal Medicine Physician 207R00000X 144252 FL
Hematology & Oncology Physician 207RH0003X 0101257450 VA

Addresses

Primary practice location

6282 Linton Blvd
Delray Beach, FL 33484-6416

Mailing address

6282 Linton Blvd
Delray Beach, FL 33484-6416
Phone (561) 955-6400

Other practice location 1

701 NW 13th St Fl 2
Boca Raton, FL 33486-2305
Phone (561) 955-6400

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20201020000644 FL Practitioner - Hematology/Oncology 2668716390 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Hematology/Oncology
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
BRRH Oncology, LLCGroup PAC ID 4082612999, 29 clinicians

Practice addresses (Care Compare)

701 NW 13TH St
FL 2
Boca Raton, FL 33486-2305
Phone (561) 955-6400

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
144252FLMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
BRRH Oncology LLC Hematology & Oncology CurrentSince Oct 1, 2020 Accepting new patients
The Center for Hematology Oncology PastSince Oct 1, 2020 Accepting new patients

Locations

701 NW 13th St
Fl 2
Boca Raton, FL 33486
Phone (561) 955-6400

6282 Linton Blvd
Delray Beach, FL 33484
Phone (561) 495-8307

Organizations & group practices 2

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.

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1247529600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639526400000",
    "number": "1396974135",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6282 LINTON BLVD",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "334846416",
            "telephone_number": "561-955-6400",
            "fax_number": "561-955-6618"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6282 LINTON BLVD",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "334846416",
            "telephone_number": "561-495-8307",
            "fax_number": "561-495-6422"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "701 NW 13th St Fl 2",
            "address_purpose": "LOCATION",
            "city": "Boca Raton",
            "state": "FL",
            "postal_code": "334862305",
            "country_code": "US",
            "telephone_number": "561-955-6400",
            "fax_number": "561-955-6618",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CASTILLO DANDREIS",
        "first_name": "EDGAR",
        "middle_name": "ALBERTO",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-07-14",
        "last_updated": "2021-12-15",
        "certification_date": "2021-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RX0202X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Medical Oncology",
            "state": "FL",
            "license": "144252",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "144252",
            "primary": false
        },
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "VA",
            "license": "0101257450",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Delray Beach, FL

Sources for this page

Verify at the official NPI Registry.