Individual provider Active NPI

Elquis M. Castillo, MD

  • Medical Oncology Physician
  • Gadsden, AL
National Provider Identifier
1609890474
Registry record updated Sep 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Oncology PhysicianTaxonomy code 207RX0202X
License
00016440 Issued in AL
Practice address
705 Goodyear Ave
Gadsden, AL 35903-1156
Phone
(256) 492-0375
Fax
(256) 492-9811
NPI assigned
Jul 26, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Oncology Physician 207RX0202X 00016440 AL Primary

Addresses

Primary practice location

705 Goodyear Ave
Gadsden, AL 35903-1156

Mailing address

PO Box 131329
Birmingham, AL 35213-6329
Phone (256) 492-0375

Other identifiers 4

IdentifierTypeStateIssuer
000087436MedicaidAL
51509705OtherALBLUE CROSS BLUE SHIELD
110237220OtherALRAILROAD MEDICARE
E71006OtherALUNITED HEALTHCARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
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
I20050207000379 AL Practitioner - Medical OncologyPractitioner - Internal Medicine 0547169229 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Medical OncologyAlso: Internal Medicine
Education
Other, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Hematology and Oncology Associates of Alabama LLCGroup PAC ID 9830098516, shared by 3 NPIs, 10 clinicians

Practice addresses (Care Compare)

705 Goodyear Ave
Gadsden, AL 35903-1156
Phone (256) 492-0375

Hospital & facility affiliations

  • Gadsden Regional Medical Center Hospital, Gadsden, AL, CCN 010040
  • Floyd Cherokee Medical Center Hospital, Centre, AL, CCN 010022

Merit-based Incentive Payment System (MIPS)

Final score
85.4 of 100Reported as group
Quality
63.89
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
16440ALMDPharmacist
00016440ALMDMedical Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hematology and Oncology Associates of Alabama, LLC Current Accepting new patients
Hematology and Oncology Associates of Alabama, LLC Medical Oncology CurrentSince Sep 1, 2002 Accepting new patients
Hematology and Oncology Associates of Alabama, LLC Current Accepting new patients
Hematology & Oncology Associates of Alabama LLC CurrentSince Sep 1, 2002 Accepting new patients

Locations

901 Leighton Ave
Ste 402
Anniston, AL 36207
Phone (256) 235-5006

1500 25th St N
Birmingham, AL 35234
Phone (205) 502-1020

339 Walker Chapel Plz
Ste 109
Fultondale, AL 35068
Phone (205) 380-7878

200 Medical Center Dr
Gadsden, AL 35903
Phone (256) 492-0375

705 Goodyear Ave
Gadsden, AL 35903
Phone (256) 492-0375

Organizations & group practices 4

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": "1153872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632960000000",
    "number": "1609890474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 131329",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352136329",
            "telephone_number": "256-492-0375",
            "fax_number": "256-492-9811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "705 GOODYEAR AVE",
            "city": "GADSDEN",
            "state": "AL",
            "postal_code": "359031156",
            "telephone_number": "256-492-0375",
            "fax_number": "256-492-9811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CASTILLO",
        "first_name": "ELQUIS",
        "middle_name": "M.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-26",
        "last_updated": "2021-09-30",
        "certification_date": "2021-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RX0202X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Medical Oncology",
            "state": "AL",
            "license": "00016440",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000087436",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "51509705",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "110237220",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "E71006",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Gadsden, AL

Sources for this page

Verify at the official NPI Registry.