Active NPI
Georgina Polanco Castillo, MD
- Endocrinology, Diabetes & Metabolism Physician
- Raleigh, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endocrinology, Diabetes & Metabolism Physician
- License
- 2020-0766
- Practice address
- 8340 Bandford Way Ste 1
Raleigh, NC 27615-2755 - Phone
- (919) 845-3332
- NPI assigned
- Aug 31, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Endocrinology, Diabetes & Metabolism Physician | 207RE0101X | MD2015-0855 | NM | |
| Endocrinology, Diabetes & Metabolism Physician | 207RE0101X | 2020-0766 | NC | Primary |
| Internal Medicine Physician | 207R00000X | 4301099326 | MI |
Addresses
Primary practice location
8340 Bandford Way Ste 1
Raleigh, NC 27615-2755
Mailing address
8340 Bandford Way
Ste 1
Raleigh, NC 27615-2755
Phone (919) 845-3332
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 05332044 | Medicaid | NM | |
| 05332044 | Medicaid | NC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Endocrinology
- Education
- Other, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
3000 New Bern Ave
Raleigh, NC 27610-1231
Phone (919) 350-8000
Hospital & facility affiliations
- Wakemed, Raleigh Campus
- Wakemed, Cary Hospital
- Rex Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 68.06 of 100
- Quality
- 40
- Improvement activities
- 40
- Cost
- 73.54
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2020-0766 | NC | MD | Endocrinology, Diabetes & Metabolism Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Capital Endocrine Consultants, PA | Current | Accepting new patients | |
| Creedmoor Centre Endocrinology PA | Internal Medicine | Past | Accepting new patients |
Locations
3434 Edwards Mill Rd
Ste 112398
Raleigh, NC 27612
Phone (919) 878-1819
3000 New Bern Ave
Raleigh, NC 27610
Phone (919) 350-7000
3400 Wake Forest Rd
Raleigh, NC 27609
Phone (919) 954-3000
Interoperability endpoints
- georgina.polancocastillo@ccendo.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.
-
- Specialist
- Raleigh, NC
- NPI 1346456209
-
- Endocrinology, Diabetes & Metabolism Physician
- Raleigh, NC
- NPI 1912008459
-
- Medical Physician Assistant
- Raleigh, NC
- NPI 1841627692
Internal Medicine
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Raleigh, NC
- NPI 1497797088
-
- General Acute Care Hospital
- Cary, NC
- NPI 1114993086
-
- Psychiatric Hospital Unit
- Raleigh, NC
- NPI 1780446302
-
- General Acute Care Hospital
- Raleigh, NC
- NPI 1972579837
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1314748800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1639353600000",
"number": "1578844775",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8340 BANDFORD WAY",
"address_2": "STE 1",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276152755",
"telephone_number": "919-845-3332"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8340 BANDFORD WAY STE 1",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276152755",
"telephone_number": "919-845-3332"
}
],
"practiceLocations": [],
"basic": {
"last_name": "POLANCO CASTILLO",
"first_name": "GEORGINA",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-08-31",
"last_updated": "2021-12-13",
"certification_date": "2021-12-13",
"status": "A"
},
"taxonomies": [
{
"code": "207RE0101X",
"taxonomy_group": "",
"desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
"state": "NM",
"license": "MD2015-0855",
"primary": false
},
{
"code": "207RE0101X",
"taxonomy_group": "",
"desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
"state": "NC",
"license": "2020-0766",
"primary": true
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MI",
"license": "4301099326",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "05332044",
"state": "NM"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "05332044",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Raleigh, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2021; 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.