Individual provider Active NPI

John Reynaldo Castillo, MD

  • Family Medicine Physician
  • Lavalette, WV
National Provider Identifier
1487384160
Registry record updated Jul 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
36636 Issued in WV
Practice address
4600 Route 152
Lavalette, WV 25535-9702
Phone
(304) 697-9480
Fax
(304) 697-9491
NPI assigned
Jun 14, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Medicine (Family Medicine) Physician 207QS0010X 36636 WV
Family Medicine Physician 207Q00000X 36636 WV Primary

Addresses

Primary practice location

4600 Route 152
Lavalette, WV 25535-9702

Mailing address

1448 10TH Ave Ste 304
Huntington, WV 25701-3579
Phone (304) 733-8728

Other practice location 1

2211 3rd Ave
Huntington, WV 25703-1225
Phone (304) 691-1880

Other practice location 2

1600 Medical Center Dr Ste 1500
Huntington, WV 25701-3657
Phone (304) 691-1100

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20250714004258 NC Order and Referring Only - Family PracticePractitioner - Family Practice 4183139629

National Provider Directory

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

NPI Registry JSON

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

{
    "created_epoch": "1655164800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784851200000",
    "number": "1487384160",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1448 10TH AVE STE 304",
            "city": "HUNTINGTON",
            "state": "WV",
            "postal_code": "257013579",
            "telephone_number": "304-733-8728",
            "fax_number": "304-691-8591"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4600 ROUTE 152",
            "city": "LAVALETTE",
            "state": "WV",
            "postal_code": "255359702",
            "telephone_number": "304-697-9480",
            "fax_number": "304-697-9491"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2211 3rd Ave",
            "address_purpose": "LOCATION",
            "city": "Huntington",
            "state": "WV",
            "postal_code": "257031225",
            "country_code": "US",
            "telephone_number": "304-691-1880",
            "fax_number": "304-691-1881",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1600 Medical Center Dr Ste 1500",
            "address_purpose": "LOCATION",
            "city": "Huntington",
            "state": "WV",
            "postal_code": "257013657",
            "country_code": "US",
            "telephone_number": "304-691-1100",
            "fax_number": "304-691-1153",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CASTILLO",
        "first_name": "JOHN",
        "middle_name": "REYNALDO",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-06-14",
        "last_updated": "2026-07-24",
        "certification_date": "2026-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QS0010X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Sports Medicine",
            "state": "WV",
            "license": "36636",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WV",
            "license": "36636",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lavalette, WV

Sources for this page

Verify at the official NPI Registry.