Individual provider Active NPI

Raquel G Castellanos Gonzalez, M.D.

  • Geriatric Medicine (Internal Medicine) Physician
  • Covington, LA
National Provider Identifier
1487909891
Registry record updated Mar 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Medicine (Internal Medicine) PhysicianTaxonomy code 207RG0300X
License
305288 Issued in LA
Practice address
66 Park Place Dr
Covington, LA 70433-5183
Phone
(985) 875-5459
Fax
(877) 872-3840
NPI assigned
Jul 23, 2012
Last updated
Mar 6, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Medicine (Internal Medicine) Physician 207RG0300X 305288 LA Primary

Addresses

Primary practice location

66 Park Place Dr
Covington, LA 70433-5183

Mailing address

66 Park Place Dr
Covington, LA 70433-5183
Phone (985) 875-5459

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address raquel.castellanos.gonzalez.1@29601.direct.athenahealth.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
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
I20170802000675 LA Practitioner - Internal Medicine 2668743188 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

66 Park Place Dr
Covington, LA 70433-5183
Phone (985) 875-5459

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Centerwell Senior Primary Care (la) PC Current Accepting new patients
Centerwell Senior Primary Care (la) PC CurrentSince Oct 3, 2022 Accepting new patients
Centerwell Senior Primary Care (la) PC Past Accepting new patients

Locations

2900 E Texas St
Ste 100
Bossier City, LA 71111
Phone (318) 606-6737

66 Park Place Dr
Covington, LA 70433
Phone (985) 875-5459

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": "1343001600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772755200000",
    "number": "1487909891",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "66 PARK PLACE DR",
            "city": "COVINGTON",
            "state": "LA",
            "postal_code": "704335183",
            "telephone_number": "985-875-5459",
            "fax_number": "877-872-3840"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "66 PARK PLACE DR",
            "city": "COVINGTON",
            "state": "LA",
            "postal_code": "704335183",
            "telephone_number": "985-875-5459",
            "fax_number": "877-872-3840"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CASTELLANOS GONZALEZ",
        "first_name": "RAQUEL",
        "middle_name": "G",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-07-23",
        "last_updated": "2026-03-06",
        "certification_date": "2026-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "LA",
            "license": "305288",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "raquel.castellanos.gonzalez.1@29601.direct.athenahealth.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "66 Park Place Dr",
            "city": "Covington",
            "state": "LA",
            "country_code": "US",
            "postal_code": "704335183",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Covington, LA

Sources for this page

Verify at the official NPI Registry.