Ivan Dario Castano, M.D

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

ME0041641 Issued in FL

Practice address

4204 W 12TH Ave
Hialeah, FL 33012-4158

Phone

(305) 556-3818

Fax

(305) 557-7675

NPI assigned

Jul 19, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL

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

Specialty

Family Practice

Education

Other, 1973

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Hospital & facility affiliations

• Lovely Home Health Care Inc Home health agency, Hialeah, FL, CCN 687061

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: premiercareassociates.ivancastano@131763.advancedmd-direct.com

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.

• Ivan D Castano MD

  • Family Medicine Physician
  • Hialeah, FL
  • NPI 1649144122
  NPD Authorized official

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Lovely Home Health Care Inc

  • Home Health Agency
  • Hialeah, FL
  • NPI 1114485232
  Care Compare affiliation

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

{
    "created_epoch": "1153267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1361318400000",
    "number": "1649299652",
    "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": {
        "last_name": "CASTANO",
        "first_name": "IVAN",
        "middle_name": "DARIO",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-19",
        "last_updated": "2013-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME0041641",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "064767500",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Belkis Liliana Castaneda, PHARM. D.
• Eugenio Enoc Castaneda, RRT
• Geysa Castaneda, RBT-23-316895
• Jorge D Castaneda, M.D.
• Tania M Castaneda, PHARMACY TECHNICIAN
• Mayra Castano
• Tania Castellano Diaz
• Jessica Castellano Zaldivar
• Diego Castellano
• Franklin Castellano, PHARMACIST INTERN

• Family Medicine Physician in Hialeah, FL
• Providers in Hialeah, FL by specialty
• Family Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.