Individual provider Active NPI

Michael Castro, MD

  • Internal Medicine Physician
  • Glendale, AZ
National Provider Identifier
1639170293
Registry record updated Oct 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
23581 Issued in AZ
Practice address
18275 N 59TH Ave
Ste 138
Glendale, AZ 85308-1260
Phone
(602) 564-0078
Fax
(602) 564-1154
NPI assigned
Aug 4, 2005
Reactivated
Mar 27, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 4, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 23581 AZ Primary
Hospitalist Physician 208M00000X 23581 AZ

Addresses

Primary practice location

18275 N 59TH Ave
Ste 138
Glendale, AZ 85308-1260

Mailing address

18275 N 59TH Ave
Ste 138
Glendale, AZ 85308-1260
Phone (602) 564-0078

Other practice location 1

1325 N Litchfield Rd Ste 110
Goodyear, AZ 85395-1214
Phone (623) 935-9494

Other identifiers 1

IdentifierTypeStateIssuer
382250MedicaidAZ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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
I20040618001331 AZ Practitioner - Internal Medicine 5092705004 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of Puerto Rico School of Medicine, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Banner Hospital Based Physicians Arizona LLCGroup PAC ID 3274782487, 636 clinicians
Banner Primary Care Physicians Arizona LLCGroup PAC ID 6406020155, 236 clinicians
BHSM Rehabilitation LLCGroup PAC ID 2062773138, shared by 27 NPIs, 450 clinicians

Practice addresses (Care Compare)

1111 E McDowell Rd
Phoenix, AZ 85006-2612
Phone (602) 839-2000

13995 W Statler Blvd
BLDG 1
Surprise, AZ 85374-5501
Phone (623) 478-3100

14502 W Meeker Blvd
Sun City, AZ 85375-5282
Phone (623) 524-4000

25101 N Lake Pleasant Pkwy
Suite B 1340
Peoria, AZ 85383-1386
Phone (602) 610-6866

Hospital & facility affiliations

  • Banner Home Care-Arizona Home health agency, Mesa, AZ, CCN 037015
  • Banner del E. Webb Medical Center Hospital, Sun City West, AZ, CCN 030093

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
23581AZMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
American Physicians, Inc. Hospitalist CurrentSince Oct 15, 2022 Accepting new patients
Banner Primary Care Physicians Arizona LLC CurrentSince Aug 15, 2024 Accepting new patients
Dvma, LLC Internal Medicine CurrentSince Jul 1, 2019 Accepting new patients
Banner Primary Care Physicians Arizona LLC Current Accepting new patients
American Physicians, Inc Internal Medicine CurrentSince Oct 15, 2022 Accepting new patients
Banner Primary Care Physicians Arizona LLC CurrentSince Aug 15, 2024 Accepting new patients
Banner Hospital Based Physicians Arizona LLC CurrentSince Aug 15, 2024 Accepting new patients
Banner Hospital Based Physicians Arizona LLC CurrentSince Aug 15, 2024 Accepting new patients
Cogent Healthcare of Arizona PC Internal Medicine CurrentSince Jul 1, 2021 Accepting new patients
Banner Hospital Based Physicians Arizona LLC Current Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients
Hospital Development of West Phoenix Inc Past Accepting new patients
Barnet Dulaney Perkins Eye Center, PC PastSince May 1, 2023 Accepting new patients
VHS of Arrowhead, Inc. Past Accepting new patients

Locations

18701 N 67th Ave
Glendale, AZ 85308
Phone (623) 561-1000

13677 W McDowell Rd
Goodyear, AZ 85395
Phone (623) 536-4200

13640 N Plaza del Rio Blvd
Peoria, AZ 85381
Phone (623) 876-3800

1111 E McDowell Rd
Phoenix, AZ 85006
Phone (602) 239-2000

1930 E Thomas Rd
Phoenix, AZ 85016
Phone (602) 532-1000

16640 N 38th St
Phoenix, AZ 85032
Phone (602) 482-6671

9003 E Shea Blvd
Scottsdale, AZ 85260
Phone (480) 323-3383

5700 E Highway 90
Sierra Vista, AZ 85635
Phone (520) 263-2000

14502 W Meeker Blvd
Sun City West, AZ 85375
Phone (623) 214-4000

15800 N Litchfield Rd
Ste 150
Surprise, AZ 85374
Phone (623) 478-3100

13995 W Statler Blvd
Bldg 1
Surprise, AZ 85374
Phone (623) 478-3100

Organizations & group practices 14

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.

View all 14

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": "1123113600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696377600000",
    "number": "1639170293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18275 N 59TH AVE",
            "address_2": "STE 138",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853081260",
            "telephone_number": "602-564-0078",
            "fax_number": "602-564-1154"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18275 N 59TH AVE",
            "address_2": "STE 138",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853081260",
            "telephone_number": "602-564-0078",
            "fax_number": "602-564-1154"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1325 N Litchfield Rd Ste 110",
            "address_purpose": "LOCATION",
            "city": "Goodyear",
            "state": "AZ",
            "postal_code": "853951214",
            "country_code": "US",
            "telephone_number": "623-935-9494",
            "fax_number": "623-935-9292",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CASTRO",
        "first_name": "MICHAEL",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-04",
        "last_updated": "2023-10-04",
        "certification_date": "2023-10-04",
        "deactivation_date": "2006-03-22",
        "reactivation_date": "2006-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AZ",
            "license": "23581",
            "primary": true
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "AZ",
            "license": "23581",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "382250",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, AZ

Sources for this page

Verify at the official NPI Registry.