Individual provider Active NPI

Amy Lenee Castillo, PA-C

  • Physician Assistant
  • Columbus, OH
National Provider Identifier
1477783736
Registry record updated May 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
085003412 Issued in IL
Practice address
750 E Long St Ste 3000
Columbus, OH 43203-1874
Phone
(614) 340-6700
Fax
(614) 792-5699
NPI assigned
Jul 21, 2009
Last updated
May 5, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 5, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 085003412 IL Primary

Addresses

Primary practice location

750 E Long St Ste 3000
Columbus, OH 43203-1874

Mailing address

6275 Emerald Pkwy
Dublin, OH 43016-3241
Phone (614) 792-5698

Other identifiers 1

IdentifierTypeStateIssuer
0461301MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220824002276 OH Practitioner - Physician Assistant 9234393448 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Equitas Health,IncGroup PAC ID 2769638154, 37 clinicians

Practice addresses (Care Compare)

1033 N High St
Columbus, OH 43201-2409
Phone (614) 340-6777

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Equitas Health, Inc CurrentSince Apr 16, 2022 Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients
Equitas Health,Inc Past Accepting new patients

Locations

1033 N High St
Columbus, OH 43201
Phone (614) 340-6776

1105 Schrock Rd
Ste 400
Columbus, OH 43229

750 E Long St
Ste 3000
Columbus, OH 43203
Phone (614) 340-6700

1222 S Patterson Blvd
Ste 230
Dayton, OH 45402
Phone (937) 223-5350

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

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": "1248134400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683244800000",
    "number": "1477783736",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6275 EMERALD PKWY",
            "city": "DUBLIN",
            "state": "OH",
            "postal_code": "430163241",
            "telephone_number": "614-792-5698",
            "fax_number": "773-869-3578"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "750 E LONG ST STE 3000",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432031874",
            "telephone_number": "614-340-6700",
            "fax_number": "614-792-5699"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CASTILLO",
        "first_name": "AMY",
        "middle_name": "LENEE",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-07-21",
        "last_updated": "2023-05-05",
        "certification_date": "2023-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "IL",
            "license": "085003412",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0461301",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, OH

Sources for this page

Verify at the official NPI Registry.