Organization Active NPI

Infectious Disease & Pulmonary Consultants, PLLC

  • Infectious Disease Physician
  • Victoria, TX
National Provider Identifier
1609208768
Registry record updated Jul 31, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
Legal business name
INFECTIOUS DISEASE & PULMONARY CONSULTANTS, PLLC
Practice address
2710 Hospital Dr Ste 310
Victoria, TX 77901-5743
Phone
(361) 582-7925
Fax
(361) 582-7926
NPI assigned
Jul 31, 2013
Last updated
Jul 31, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2013

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

Authorized official

Name
Carrie Castilla
Title
Office Manager
Phone
(361) 582-7925

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Care Medicine (Internal Medicine) Physician 207RC0200X NU
Infectious Disease Physician 207RI0200X NU Primary
Pulmonary Disease Physician 207RP1001X NU

Addresses

Primary practice location

2710 Hospital Dr Ste 310
Victoria, TX 77901-5743

Mailing address

2710 Hospital Dr Ste 310
Victoria, TX 77901-5743
Phone (361) 582-7925

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140311000253 TX Part B Supplier - Clinic/Group Practice 6305076423 Receives reassigned benefits from 1 practitioner
Practice locations: Beeville, TX; Victoria, TX

National Provider Directory

National Provider Directory

Locations

605 E San Antonio St
Victoria, TX 77901
Phone (361) 575-0228

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1375228800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1375228800000",
    "number": "1609208768",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2710 HOSPITAL DR STE 310",
            "city": "VICTORIA",
            "state": "TX",
            "postal_code": "779015743",
            "telephone_number": "361-582-7925",
            "fax_number": "361-582-7926"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2710 HOSPITAL DR STE 310",
            "city": "VICTORIA",
            "state": "TX",
            "postal_code": "779015743",
            "telephone_number": "361-582-7925",
            "fax_number": "361-582-7926"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INFECTIOUS DISEASE & PULMONARY CONSULTANTS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-31",
        "last_updated": "2013-07-31",
        "status": "A",
        "authorized_official_last_name": "CASTILLA",
        "authorized_official_first_name": "CARRIE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "361-582-7925"
    },
    "taxonomies": [
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Victoria, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.