Active NPI
Andrew Douglas Kastello, M.D.
- Trauma Surgery Physician
- Carbondale, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Trauma Surgery Physician
- License
- 2086S0127X
- Practice address
- 305 W Jackson St Ste 206
Carbondale, IL 62901-1474 - Phone
- (618) 457-3006
- Fax
- (618) 457-3007
- NPI assigned
- May 16, 2008
- Last updated
- Feb 10, 2025
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 72354 | GA | |
| Surgery Physician | 208600000X | 036171933 | IL | |
| Surgical Critical Care Physician | 2086S0102X | 72354 | GA | |
| Surgical Critical Care Physician | 2086S0102X | 036171933 | IL | |
| Trauma Surgery Physician | 2086S0127X | 2086S0127X | IL | Primary |
Addresses
Primary practice location
305 W Jackson St Ste 206
Carbondale, IL 62901-1474
Mailing address
PO Box 3988
Carbondale, IL 62902-3988
Phone (618) 457-5200
Other practice location 1
3647 J Dewey Gray Cir Ste 200
Augusta, GA 30909-2205
Phone (706) 504-9712
Other practice location 2
220 S Park Ave Fl 3
Herrin, IL 62948-3602
Phone (618) 942-2002
Other practice location 3
2601 W Main St
Carbondale, IL 62901-1031
Phone (618) 351-7300
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | akastello77555@sih.direct-ci.com | ||
| Direct Messaging Address | akastello77555@sih.direct-ci.com |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD, IL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- General Surgery
- Education
- Other, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
305 W Jackson St
Suite 206
Carbondale, IL 62901-1474
Phone (618) 457-3006
Hospital & facility affiliations
- Memorial Hospital of Carbondale
- Herrin Hospital
- Harrisburg Medical Center
- St Joseph Memorial Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 82 of 100
- Quality
- 55.9
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 72.01
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 1-10 |
| Hernia repair (minimally invasive) | 1-10 |
| Removal of tissue | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 72354 | GA | MD | Surgery Physician |
| 036171933 | IL | MD | Surgery Physician |
| 2086S0127X | IL | MD | Trauma Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mid Atlantic Surgical Group | Surgery | Current | Accepting new patients |
| Trauma Surgical Assoc | Surgical Critical Care | Current | Accepting new patients |
| Healogics Specialty Physicians of Maryland, LLC | Current | Accepting new patients | |
| Southern Illinois Medical Services, NFP | Current | Accepting new patients | |
| Burn and Reconstructive Centers of Virginia, PLLC | Past | Accepting new patients | |
| Cumberland Plateau General Surgery, PLLC | Surgery | Past | Accepting new patients |
Locations
2601 W Main St
Carbondale, IL 62901
Phone (618) 351-7300
305 W Jackson St
Ste 206
Carbondale, IL 62901
Phone (618) 457-3006
220 S Park Ave
Fl 3
Herrin, IL 62948
Phone (618) 942-2002
900 S Caton Ave
Baltimore, MD 21229
Phone (410) 368-3120
25500 Point Lookout Rd
Leonardtown, MD 20650
Phone (301) 475-6106
100 E Carroll St
Salisbury, MD 21801
Phone (410) 543-7100
6507 Deer Pointe Dr
Salisbury, MD 21804
Phone (410) 543-9332
Interoperability endpoints
- akastello77555@sih.direct-ci.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.
-
dba SIH Medical Group
- Internal Medicine Physician
- Carbondale, IL
- NPI 1770656837
-
- Undersea and Hyperbaric Medicine (Preventive Medicine) Physician
- Leonardtown, MD
- NPI 1700288602
-
- Surgery Physician
- Salisbury, MD
- NPI 1215122809
-
- Surgical Critical Care Physician
- Salisbury, MD
- NPI 1295929602
-
- Surgery Physician
- McMinnville, TN
- NPI 1649591264
-
- Specialist
- Richmond, VA
- NPI 1194346734
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Harrisburg, IL
- NPI 1073580130
-
dba Memorial Hospital of Carbondale
- General Acute Care Hospital
- Carbondale, IL
- NPI 1093801797
-
dba St. Joseph Memorial Hospital
- Critical Access Hospital
- Murphysboro, IL
- NPI 1356435135
-
dba Herrin Hospital
- General Acute Care Hospital
- Herrin, IL
- NPI 1528158573
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1210896000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1739145600000",
"number": "1578720629",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 3988",
"city": "CARBONDALE",
"state": "IL",
"postal_code": "629023988",
"telephone_number": "618-457-5200"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "305 W JACKSON ST STE 206",
"city": "CARBONDALE",
"state": "IL",
"postal_code": "629011474",
"telephone_number": "618-457-3006",
"fax_number": "618-457-3007"
}
],
"practiceLocations": [
{
"address_1": "3647 J Dewey Gray Cir Ste 200",
"address_purpose": "LOCATION",
"city": "Augusta",
"state": "GA",
"postal_code": "309092205",
"country_code": "US",
"telephone_number": "706-504-9712",
"fax_number": "706-504-9703",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "220 S Park Ave Fl 3",
"address_purpose": "LOCATION",
"city": "Herrin",
"state": "IL",
"postal_code": "629483602",
"country_code": "US",
"telephone_number": "618-942-2002",
"fax_number": "618-351-6497",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2601 W Main St",
"address_purpose": "LOCATION",
"city": "Carbondale",
"state": "IL",
"postal_code": "629011031",
"country_code": "US",
"telephone_number": "618-351-7300",
"fax_number": "618-457-7890",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KASTELLO",
"first_name": "ANDREW",
"middle_name": "DOUGLAS",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-05-16",
"last_updated": "2025-02-10",
"certification_date": "2025-02-10",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "GA",
"license": "72354",
"primary": false
},
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "IL",
"license": "036171933",
"primary": false
},
{
"code": "2086S0102X",
"taxonomy_group": "",
"desc": "Surgery, Surgical Critical Care",
"state": "GA",
"license": "72354",
"primary": false
},
{
"code": "2086S0102X",
"taxonomy_group": "",
"desc": "Surgery, Surgical Critical Care",
"state": "IL",
"license": "036171933",
"primary": false
},
{
"code": "2086S0127X",
"taxonomy_group": "",
"desc": "Surgery, Trauma Surgery",
"state": "IL",
"license": "2086S0127X",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "akastello77555@sih.direct-ci.com",
"affiliation": "N",
"address_1": "305 W Jackson St Ste 206",
"city": "Carbondale",
"state": "IL",
"country_code": "US",
"postal_code": "629011474",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "akastello77555@sih.direct-ci.com",
"affiliation": "N",
"address_1": "220 S Park Ave Fl 3",
"city": "Herrin",
"state": "IL",
"country_code": "US",
"postal_code": "629483602",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Carbondale, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2025; 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.