Angel Ernesto Castro, PA-C
Individual provider Active NPI Surgical Physician Assistant · New Haven, CT
NPI 1477901718 · NPPES record last updated May 14, 2019
Key facts
- NPI
- 1477901718
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Surgical Physician Assistant 363AS0400X
- License
- 3618 (CT)
- Practice address
- 1450 Chapel St
Verdi 3 South 3021
New Haven, CT 06511-4405 - Phone
- (203) 789-4140
- Fax
- (203) 789-6617
- NPI assigned
- May 26, 2016
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 7
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Physician Assistant
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Hartford Healthcare Medical Group Specialists PLLC
Prospect CT Medical Foundation Inc
Practice addresses (Care Compare)
1244 Storrs Rd
Road
Storrs, CT 06268-2200
Phone (860) 724-2579
18 Haynes St
Uppr Level
Manchester, CT 06040-4111
Phone (860) 649-7557
71 Haynes St
Manchester, CT 06040-4131
Phone (860) 647-6800
Hospital & facility affiliations
- Manchester Memorial Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CT
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20161205000129 | CT | Practitioner - Physician Assistant | 6901186253 | Reassigns benefits to 4 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northeast Medical Group, Inc. | Current |
Accepting new patients | |
| Mill Hill Medical Consultants Inc | Current |
Accepting new patients | |
| Yale University | Current |
Accepting new patients | |
| Yale University | Current |
Accepting new patients |
Locations
226 Mill Hill Ave
Ste 3
Bridgeport, CT 06610
Phone (203) 384-3394
300 George St
Fl 6
New Haven, CT 06511
Phone (203) 785-6610
800 Howard Ave
New Haven, CT 06519
Phone (203) 785-2140
1450 Chapel St
#3S
New Haven, CT 06511
Phone (203) 789-4140
95 Armory Rd
Stratford, CT 06614
Phone (203) 384-3388
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | 3618 | CT | |
| Surgical Physician Assistant | 363AS0400X | 3618 | CT | Yes |
Addresses
Primary practice location
1450 Chapel St
Verdi 3 South 3021
New Haven, CT 06511-4405
Mailing address
226 Mill Hill Ave, 3Rd FL
C/O Northeast Medical Group, Inc.
Bridgeport, CT 06610-2826
Phone (203) 789-4140
Other providers in New Haven, CT
- Alexandra Castillo
- Jean Castillo
- Monique Castillo
- Ronald Castillo
- Caroline Castleman
- Mia Ulani Castro
- Amy Laura Catalano
- Kathryn Beebe Catanzaro
- Catholic Charities
- Catholic Charities Inc
All providers in New Haven, CT · Surgical Physician Assistant in Connecticut
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 14, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.