Individual provider Active NPI

Emerita R. Castillo, M.D.

  • Obstetrics & Gynecology Physician
  • Palmetto Bay, FL
National Provider Identifier
1508124009
Registry record updated Nov 17, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
ME113043 Issued in FL
Practice address
9299 SW 152ND St Ste 206
Palmetto Bay, FL 33157-1776
Phone
(646) 713-7451
NPI assigned
May 3, 2012
Last updated
Nov 17, 2015By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 17, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X ME113043 FL Primary

Addresses

Primary practice location

9299 SW 152ND St Ste 206
Palmetto Bay, FL 33157-1776

Mailing address

9299 SW 152ND St Ste 206
Palmetto Bay, FL 33157-1776

Other identifiers 2

IdentifierTypeStateIssuer
006123200MedicaidFL
GY905ZOtherFLMEDICARE PTAN

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20130304000293 FL Practitioner - Obstetrics/GynecologyPractitioner - Emergency Medicine 9436304144 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME113043FLMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
OB Hospitalist Group LLC Obstetrics & Gynecology CurrentSince Sep 16, 2019 Accepting new patients
Kidz Medical Services, Inc CurrentSince Oct 9, 2013 Accepting new patients
OB Hospitalist Group LLC Obstetrics & Gynecology Current Accepting new patients
Kidz Medical Services, Inc CurrentSince Oct 9, 2013 Accepting new patients
OB Hospitalist Group LLC Obstetrics & Gynecology CurrentSince Sep 16, 2019 Accepting new patients

Locations

9980 Central Park Blvd N
Ste 318
Boca Raton, FL 33428
Phone (561) 451-0500

975 Baptist Way
Ste 203
Homestead, FL 33033
Phone (305) 242-8200

1324 Lakeland Hills Blvd
Lakeland, FL 33805
Phone (863) 687-1132

8900 SW 88th St
Miami, FL 33176
Phone (305) 596-1960

2600 Immokalee Rd
Naples, FL 34110
Phone (239) 213-0690

6200 SW 73rd St
South Miami, FL 33143
Phone (305) 661-4611

13001 State Road 80
Westlake, FL 33470
Phone (561) 793-3300

Interoperability endpoints

  • Direct secure messaging: ecastillo@direct.meditouchehr.com

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1336003200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1447718400000",
    "number": "1508124009",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9299 SW 152ND ST STE 206",
            "city": "PALMETTO BAY",
            "state": "FL",
            "postal_code": "331571776"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9299 SW 152ND ST STE 206",
            "city": "PALMETTO BAY",
            "state": "FL",
            "postal_code": "331571776",
            "telephone_number": "646-713-7451"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CASTILLO",
        "first_name": "EMERITA",
        "middle_name": "R.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-05-03",
        "last_updated": "2015-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "FL",
            "license": "ME113043",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "006123200",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "GY905Z",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Palmetto Bay, FL

Sources for this page

Verify at the official NPI Registry.