Edgardo Castillo-Nieves, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

26,410-R Issued in PR

Practice address

1530 Lee Blvd
Suite 1600
Lehigh Acres, FL 33936-4893

Phone

(239) 368-7310

Fax

(239) 368-7312

NPI assigned

Apr 8, 2008

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

Other identifiers 1

Other names 1

• Dr. Edgardo Castillo Professional name

Medicare fee-for-service enrollment

Enrolled in FL

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, 2004

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: edgardo.castillo.1@15088.direct.athenahealth.com
• Direct secure messaging: edgardo.castillo@765350869467140.direct.elationemr.com

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.

• Castillo'S MD Services, LLC

  • Internal Medicine Physician
  • Lehigh Acres, FL
  • NPI 1922455104
  Medicare reassignment NPD
• Galenus Group, Inc.

  • Multi-Specialty Clinic/Center
  • Lehigh Acres, FL
  • NPI 1003467960
  NPD (past)

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

{
    "created_epoch": "1207612800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672790400000",
    "number": "1508039819",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1530 LEE BLVD STE 1400",
            "city": "LEHIGH ACRES",
            "state": "FL",
            "postal_code": "339364887",
            "telephone_number": "239-368-7310",
            "fax_number": "239-368-7312"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1530 LEE BLVD",
            "address_2": "SUITE 1600",
            "city": "LEHIGH ACRES",
            "state": "FL",
            "postal_code": "339364893",
            "telephone_number": "239-368-7310",
            "fax_number": "239-368-7312"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CASTILLO-NIEVES",
        "first_name": "EDGARDO",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-04-08",
        "last_updated": "2023-01-04",
        "certification_date": "2023-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PR",
            "license": "26,410-R",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "112016700",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "EDGARDO",
            "last_name": "CASTILLO",
            "prefix": "DR.",
            "credential": "M.D",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Elianys Castanera Castillo
• Raiza Castellanos Gonzalez
• Venesar Castello
• Yanelys Castillo Garcia, RBT-19-90944
• Celia Castillo Gonzalez
• Estefania Castillo
• Osmaidy Castillo
• Castillo'S MD Services, LLC
• Maria Castro Boada
• Yulian Castro Dominguez

• Internal Medicine Physician in Lehigh Acres, FL
• Providers in Lehigh Acres, FL by specialty
• Internal Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2023; 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.