Individual provider Active NPI

Gregg Ceniza Castillo, M.D.

  • Family Medicine Physician
  • Houston, TX
National Provider Identifier
1508928185
Registry record updated Aug 29, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
M4728 Issued in TX
Practice address
13176 W Lake Houston Pkwy
Ste 4
Houston, TX 77044
Phone
(281) 436-0061
Fax
(281) 436-1128
NPI assigned
Dec 13, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 29, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X M4728 TX Primary

Addresses

Primary practice location

13176 W Lake Houston Pkwy
Ste 4
Houston, TX 77044

Mailing address

13176 W Lake Houston Pkwy
Ste 4
Houston, TX 77044-5381
Phone (281) 436-0061

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20080520000285 TX Practitioner - Family Practice 1759450521 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Texas Medical School at Houston, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

13176 W Lake Houston Pkwy
Houston, TX 77044-5381
Phone (281) 436-0061

Hospital & facility affiliations

  • Memorial Hermann Northeast Hospital Hospital, Humble, TX, CCN 450684
  • HCA Houston Healthcare Kingwood Hospital, Kingwood, TX, CCN 450775

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Gregg C. Castillo, MD, PA Family Medicine CurrentSince Nov 12, 2007 Accepting new patients
Cesario a Castillo MD PA Family Medicine CurrentSince Jun 1, 2006 Accepting new patients
Brian C Castillo, MD PA Family Medicine Current Accepting new patients

Locations

13176 W Lake Houston Pkwy
Ste 4
Houston, TX 77044
Phone (281) 436-0061

13176 W Lake Houston Pkwy
Ste 5
Houston, TX 77044
Phone (281) 373-0162

Interoperability endpoints

  • Direct secure messaging: gregg.castillo@sfc.eclinicaldirectplus.com

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 and National Provider Directory roles.

Hospital & facility affiliations 2

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": "1165968000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1535500800000",
    "number": "1508928185",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13176 W LAKE HOUSTON PKWY",
            "address_2": "STE 4",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770445381",
            "telephone_number": "281-436-0061",
            "fax_number": "281-436-1128"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13176 W LAKE HOUSTON PKWY",
            "address_2": "STE 4",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "77044",
            "telephone_number": "281-436-0061",
            "fax_number": "281-436-1128"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CASTILLO",
        "first_name": "GREGG",
        "middle_name": "CENIZA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-13",
        "last_updated": "2018-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "M4728",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.