Individual provider Active NPI

Francisco A Castillos, MD

  • Hematology & Oncology Physician
  • Wake Forest, NC
National Provider Identifier
1619978285
Registry record updated Feb 26, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
200400833 Issued in NC
Practice address
11635 Northpark Dr
Suite 250
Wake Forest, NC 27587-6526
Phone
(919) 825-4637
Fax
(919) 562-0444
NPI assigned
Aug 9, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 26, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology & Oncology Physician 207RH0003X 200400833 NC Primary

Addresses

Primary practice location

11635 Northpark Dr
Suite 250
Wake Forest, NC 27587-6526

Mailing address

11635 Northpark Dr
Suite#250
Wake Forest, NC 27587-6526
Phone (919) 825-4637

Other identifiers 7

IdentifierTypeStateIssuer
1820724OtherNCFIRST HEALTH ID
2019007OtherNCUNITED HEALTH CARE ID
89137UCMedicaidNC
D6867OtherNCMEDCOST ID
8200569OtherNCCIGNA ID
137UCOtherNCBLUE CROSS BLUE SHIELD ID
7033081OtherNCAETNA ID

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040927001138 NC Practitioner - Hematology/OncologyPractitioner - Internal Medicine 4284603200 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Hematology/OncologyAlso: Internal Medicine
Education
Chicago College of Medicine and Surgery, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

11635 Northpark Dr
Suite 250
Wake Forest, NC 27587-6298
Phone (919) 825-4637

Hospital & facility affiliations

  • Unc Health Nash Hospital, Rocky Mount, NC, CCN 340147
  • Wakemed, Raleigh Campus Hospital, Raleigh, NC, CCN 340069

Merit-based Incentive Payment System (MIPS)

Final score
30 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
100

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
200400833NCMDHematology & Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Personalized Hematology-Oncology of Wake Forest PLLC Internal Medicine CurrentSince Jun 30, 2012 Accepting new patients

Locations

11635 Northpark Dr
Ste 250
Wake Forest, NC 27587
Phone (919) 825-4637

Interoperability endpoints

  • Direct secure messaging: castillos.francisco.020.0330177@owf.meditab.direct-ci.com

Organizations & group practices 1

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 3

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": "1123545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1361836800000",
    "number": "1619978285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11635 NORTHPARK DR",
            "address_2": "SUITE#250",
            "city": "WAKE FOREST",
            "state": "NC",
            "postal_code": "275876526",
            "telephone_number": "919-825-4637",
            "fax_number": "919-562-0444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11635 NORTHPARK DR",
            "address_2": "SUITE 250",
            "city": "WAKE FOREST",
            "state": "NC",
            "postal_code": "275876526",
            "telephone_number": "919-825-4637",
            "fax_number": "919-562-0444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CASTILLOS",
        "first_name": "FRANCISCO",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-09",
        "last_updated": "2013-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "NC",
            "license": "200400833",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIRST HEALTH ID",
            "identifier": "1820724",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTH CARE ID",
            "identifier": "2019007",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "89137UC",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDCOST ID",
            "identifier": "D6867",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA ID",
            "identifier": "8200569",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD ID",
            "identifier": "137UC",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA ID",
            "identifier": "7033081",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wake Forest, NC

Sources for this page

Verify at the official NPI Registry.