Individual provider Active NPI

Reynaldo Magdangal Castro, MD

  • Internal Medicine Physician
  • Moline, IL
National Provider Identifier
1477539799
Registry record updated Mar 19, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Practice address
550 30TH Ave
Ste 12
Moline, IL 61265-5975
Phone
(309) 762-5515
Fax
(309) 762-5519
NPI assigned
Dec 19, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 19, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X IL Primary

Addresses

Primary practice location

550 30TH Ave
Ste 12
Moline, IL 61265-5975

Mailing address

550 30TH Ave
Ste 12
Moline, IL 61265-5975
Phone (309) 762-5515

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
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
I20050407000499 IL Practitioner - Internal Medicine 2567419948 Reassigns benefits to 1 organization
Practice locations: Silvis, IL; Moline, IL; Rock Island, IL

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Iowa Physicians Clinic Medical FoundationGroup PAC ID 8729992318, 1,254 clinicians

Practice addresses (Care Compare)

600 John Deere Rd
Suite 401
Moline, IL 61265-6812
Phone (309) 779-4950

Hospital & facility affiliations

  • Unity Point at Home Home health agency, Moline, IL, CCN 147009
  • Centerwell Home Health Home health agency, Moline, IL, CCN 147428
  • Unitypoint Hospice Hospice, Moline, IL, CCN 141583
  • Trinity Rock Island Hospital, Rock Island, IL, CCN 140280
  • Trinity - Bettendorf Hospital, Bettendorf, IA, CCN 160104
  • Hammond Henry Hospital Hospital, Geneseo, IL, CCN 141319
  • Genesis HLTH System Dba Genesis MDL Ctr-Illini Hospital, Silvis, IL, CCN 140275

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036098940ILMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
St Luke'S Methodist Hospital Current Accepting new patients
Iowa Physicians Clinic Medical Foundation Internal Medicine CurrentSince Feb 5, 2020 Accepting new patients
Thomas D Ade MD PLLC Current Accepting new patients

Locations

1776 Westlakes Pkwy
Ste 400
West Des Moines, IA 50266
Phone (515) 241-6161

600 N College Ave
Ste 120
Geneseo, IL 61254
Phone (309) 944-5342

550 30th Ave
Ste 12
Moline, IL 61265
Phone (309) 736-5568

600 John Deere Rd
Ste 401
Moline, IL 61265
Phone (309) 779-3627

2701 17th St
Rock Island, IL 61201
Phone (309) 779-3200

801 Illini Dr
Silvis, IL 61282
Phone (309) 281-4000

Interoperability endpoints

  • Direct secure messaging: rcastro92140@direct.unitypoint.org

Organizations & group practices 3

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": "1134950400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1205884800000",
    "number": "1477539799",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "550 30TH AVE",
            "address_2": "STE 12",
            "city": "MOLINE",
            "state": "IL",
            "postal_code": "612655975",
            "telephone_number": "309-762-5515",
            "fax_number": "309-762-5519"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550 30TH AVE",
            "address_2": "STE 12",
            "city": "MOLINE",
            "state": "IL",
            "postal_code": "612655975",
            "telephone_number": "309-762-5515",
            "fax_number": "309-762-5519"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CASTRO",
        "first_name": "REYNALDO",
        "middle_name": "MAGDANGAL",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-12-19",
        "last_updated": "2008-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Moline, IL

Sources for this page

Verify at the official NPI Registry.