Organization Active NPI

Ivan D Castano MD

  • Family Medicine Physician
  • Hialeah, FL
National Provider Identifier
1649144122
Registry record updated Oct 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
IVAN D CASTANO MD
Practice address
4204 W 12TH Ave
Hialeah, FL 33012-4158
Phone
(305) 556-3818
Fax
(305) 557-7675
NPI assigned
Sep 30, 2025
Last updated
Oct 1, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2025

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

Authorized official

Name
Ivan Dario Castano, MDNPI 1649299652
Title
MD
Phone
(305) 556-3818

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

4204 W 12TH Ave
Hialeah, FL 33012-4158

Mailing address

4204 W 12TH Ave
Hialeah, FL 33012-4158
Phone (305) 556-3818

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D2004848Ivan Castano MD PA4204 W 12TH Ave, Hialeah, FL 33012Certificate of waiverMar 14, 2028

National Provider Directory

National Provider Directory

Locations

4204 W 12th Ave
Hialeah, FL 33012
Phone (305) 556-3818

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": "1759190400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1759276800000",
    "number": "1649144122",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4204 W 12TH AVE",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330124158",
            "telephone_number": "305-556-3818",
            "fax_number": "305-557-7675"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4204 W 12TH AVE",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330124158",
            "telephone_number": "305-556-3818",
            "fax_number": "305-557-7675"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IVAN D CASTANO MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-09-30",
        "last_updated": "2025-10-01",
        "certification_date": "2025-10-01",
        "status": "A",
        "authorized_official_last_name": "CASTANO",
        "authorized_official_first_name": "IVAN",
        "authorized_official_middle_name": "DARIO",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "305-556-3818",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hialeah, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.