Individual provider Active NPI

Ignacio Castellon, MD

  • Radiation Oncology Physician
  • Pembroke Pines, FL
National Provider Identifier
1437371036
Registry record updated Dec 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiation Oncology PhysicianTaxonomy code 2085R0001X
License
ME103649 Issued in FL
Practice address
801 N Flamingo Rd Ste 10
Pembroke Pines, FL 33028-1019
Phone
(954) 844-9696
Fax
(954) 450-4422
NPI assigned
May 3, 2007
Last updated
Dec 12, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Radiation Oncology Physician 2085R0001X ME103649 FL Primary

Addresses

Primary practice location

801 N Flamingo Rd Ste 10
Pembroke Pines, FL 33028-1019

Mailing address

2900 Corporate Way
Door D
Miramar, FL 33025-3925
Phone (954) 276-5685

Other practice location 1

3501 Johnson St Fl 1
Hollywood, FL 33021-5421
Phone (954) 265-8000

Other identifiers 1

IdentifierTypeStateIssuer
001538100MedicaidFL

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address icastellon13457@MHSDIRECT.NET

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
I20091026000105 FL Practitioner - Diagnostic RadiologyPractitioner - Radiation Oncology 3375680218 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic RadiologyAlso: Radiation Oncology
Education
University of Miami, LM Miller School of Medicine, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
South Broward Hospital DistrictGroup PAC ID 8123927373, 659 clinicians

Practice addresses (Care Compare)

12235 Pines Blvd
Pembroke Pines, FL 33026-4119
Phone (954) 265-4325

3501 Johnson St
FL 1
Hollywood, FL 33021-5421
Phone (954) 265-8000

801 N Flamingo Rd
Suite 10
Pembroke Pines, FL 33028-1019
Phone (954) 844-9696

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME103649FLMDRadiation Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
South Broward Hospital District CurrentSince Jan 1, 2024 Accepting new patients
South Broward Hospital District Radiation Oncology CurrentSince Jan 1, 2024 Accepting new patients
Mori Bean and Brooks Inc PastSince Mar 1, 2021 Accepting new patients
South Broward Hospital District Past Accepting new patients
Radiology Associates of Hollywood, Inc. Past Accepting new patients

Locations

1005 N 35th Ave
Hollywood, FL 33021
Phone (954) 265-5324

3501 Johnson St
Fl 1
Hollywood, FL 33021
Phone (954) 265-7750

2900 Corporate Way
Miramar, FL 33025
Phone (954) 276-5411

2900 Corporate Way
#D
Miramar, FL 33025
Phone (954) 276-5581

3501 Johnson St
Pembroke Park, FL 33021
Phone (954) 265-2000

801 N Flamingo Rd
Ste 10
Pembroke Pines, FL 33028
Phone (954) 844-9696

703 N Flamingo Rd
Pembroke Pnes, FL 33028
Phone (954) 436-5000

Interoperability endpoints

  • Direct secure messaging: icastellon13457@mhsdirect.net

Organizations & group practices 5

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.

Hospital & facility affiliations 4

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": "1178150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702339200000",
    "number": "1437371036",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2900 CORPORATE WAY",
            "address_2": "DOOR D",
            "city": "MIRAMAR",
            "state": "FL",
            "postal_code": "330253925",
            "telephone_number": "954-276-5685",
            "fax_number": "954-985-7074"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 N FLAMINGO RD STE 10",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330281019",
            "telephone_number": "954-844-9696",
            "fax_number": "954-450-4422"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3501 Johnson St Fl 1",
            "address_purpose": "LOCATION",
            "city": "Hollywood",
            "state": "FL",
            "postal_code": "330215421",
            "country_code": "US",
            "telephone_number": "954-265-8000",
            "fax_number": "954-276-0471",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CASTELLON",
        "first_name": "IGNACIO",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-03",
        "last_updated": "2023-12-12",
        "certification_date": "2023-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "FL",
            "license": "ME103649",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001538100",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "icastellon13457@MHSDIRECT.NET",
            "affiliation": "N",
            "address_1": "801 N Flamingo Rd Ste 10",
            "city": "Pembroke Pines",
            "state": "FL",
            "country_code": "US",
            "postal_code": "330281019",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Pembroke Pines, FL

Sources for this page

Verify at the official NPI Registry.