Pedro Rafael Castillo Tallaj, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

319538-01 Issued in NY

Practice address

571 Academy St Apt Gle
New York, NY 10034-5104

Phone

(212) 567-0550

Fax

(646) 833-1969

NPI assigned

Oct 8, 2018

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

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

Specialty

Internal Medicine

Education

Other, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Somos Medical PCGroup PAC ID 6406217868, 10 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Networks

• Healthfirst Medicare Network H5989
• Healthfirst Medicare Network H3359
• Healthfirst Medicare Network H9678
• Healthfirst Medicare Network H1722

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/ECDHAA

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.

• Somos Medical, P.C

  • Family Medicine Physician
  • New York, NY
  • NPI 1639873144
  Medicare reassignment Care Compare group
• Women'S Health Practice LLC

  • Preferred Provider Organization
  • New York, NY
  • NPI 1093137481
  NPD
• City Heart Vascular PLLC

  • Cardiovascular Disease Physician
  • South Richmond Hill, NY
  • NPI 1851042568

  Internal Medicine

  NPD (past)
• Imperial Medical, PC

  • Internal Medicine Physician
  • New York, NY
  • NPI 1891937157
  NPD (past)

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

{
    "created_epoch": "1538956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760313600000",
    "number": "1487129227",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "571 ACADEMY ST APT 1A",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100345105",
            "telephone_number": "212-304-0096",
            "fax_number": "347-625-6551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "571 ACADEMY ST APT GLE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100345104",
            "telephone_number": "212-567-0550",
            "fax_number": "646-833-1969"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3 9 Sickles St",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100401642",
            "country_code": "US",
            "telephone_number": "833-717-2828",
            "fax_number": "347-625-6551",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CASTILLO TALLAJ",
        "first_name": "PEDRO",
        "middle_name": "RAFAEL",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-10-08",
        "last_updated": "2025-10-13",
        "certification_date": "2025-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "319538-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amy Castillo Barahona
• Kaylah Castillo Blount
• Arleene Denisse Castillo Chevalier, LMSW
• Perla Marina Castillo de la Cruz
• Luz Elena Castillo Lora
• Franco Castillo Tokumori, MD
• Sheila Maria Castillo Toribio
• Jenny Castillo-Cato, MD
• Paulina Castillo-Eisenbeis, LMFT
• Kimberly Marie Castillo-Perez, LCSW

• Internal Medicine Physician in New York, NY
• Providers in New York, NY by specialty
• Internal Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.