Individual provider Active NPI

Joseph Castro

  • Physician Assistant
  • Bellevue, WA
National Provider Identifier
1609446236
Registry record updated Jan 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
61226668 Issued in WA
Practice address
14450 NE 29TH PL Ste 230
Bellevue, WA 98007-3697
Phone
(425) 998-7884
NPI assigned
Jun 27, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Physician Assistant 363AS0400X 61226668 WA
Physician Assistant 363A00000X 61226668 WA Primary

Addresses

Primary practice location

14450 NE 29TH PL Ste 230
Bellevue, WA 98007-3697

Mailing address

4311 11TH Ave NE Ste 200
Seattle, WA 98105-6367

Other practice location 1

12039 NE 128th St Ste 500
Kirkland, WA 98034-3029
Phone (425) 899-4892

Other practice location 2

1135 116th Ave NE Ste 500
Bellevue, WA 98004-4627
Phone (425) 635-6560

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20211214001589 WA Practitioner - Physician Assistant 2860882412 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
86.73 of 100Reported as apm
Quality
73.46
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
61226668WAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
King County Public Hospital District No 2 CurrentSince Oct 1, 2021 Accepting new patients
Bellevue Pain and Wellness PLLC CurrentSince Oct 15, 2023 Accepting new patients
King County Public Hospital District No. 2 CurrentSince Oct 1, 2021 Accepting new patients
King County Public Hospital District No 2 Past Accepting new patients
Overlake Medical Clinics, LLC Past Accepting new patients

Locations

1135 116th Ave NE
Ste 500
Bellevue, WA 98004
Phone (425) 454-3938

14450 NE 29th Pl
Ste 230
Bellevue, WA 98007
Phone (206) 452-2091

12039 NE 128th St
Ste 500
Kirkland, WA 98034
Phone (425) 899-1220

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1624752000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736812800000",
    "number": "1609446236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4311 11TH AVE NE STE 200",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981056367"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14450 NE 29TH PL STE 230",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980073697",
            "telephone_number": "425-998-7884"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12039 NE 128th St Ste 500",
            "address_purpose": "LOCATION",
            "city": "Kirkland",
            "state": "WA",
            "postal_code": "980343029",
            "country_code": "US",
            "telephone_number": "425-899-4892",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1135 116th Ave NE Ste 500",
            "address_purpose": "LOCATION",
            "city": "Bellevue",
            "state": "WA",
            "postal_code": "980044627",
            "country_code": "US",
            "telephone_number": "425-635-6560",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CASTRO",
        "first_name": "JOSEPH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-06-27",
        "last_updated": "2025-01-14",
        "certification_date": "2025-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "WA",
            "license": "61226668",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "WA",
            "license": "61226668",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellevue, WA

Sources for this page

Verify at the official NPI Registry.