Active NPI
Daniel Castaneda Mayorga, M.D.
- Gastroenterology Physician
- Reidsville, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- License
- 202004455
- Practice address
- 621 S Main St
Reidsville, NC 27320-5033 - Phone
- (336) 342-6880
- NPI assigned
- Jul 3, 2015
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | TRN25978 | FL | |
| Gastroenterology Physician | 207RG0100X | 202004455 | NC | Primary |
Addresses
Primary practice location
621 S Main St
Reidsville, NC 27320-5033
Mailing address
2950 Cleveland Clinic Blvd
Weston, FL 33331-3609
Phone (954) 659-5000
Other practice location 1
2950 Cleveland Clinic Blvd
Weston, FL 33331-3609
Phone (954) 659-5000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC, FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Gastroenterology
- Education
- Other, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
233 Gilmer St
Reidsville, NC 27320-3809
Phone (336) 342-6196
621 S Main St
Suite 205
Reidsville, NC 27320-5034
Phone (336) 951-6530
835 Currency Cir
Suite 1001
Lake Mary, FL 32746-2293
Phone (407) 749-6656
Hospital & facility affiliations
- Moses H. Cone Memorial Hospital, the
- Central Florida Lake Monroe Hospital
- Adventhealth Deland
- Adventhealth Fish Memorial
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 69 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 82 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| TRN25978 | FL | MD | Gastroenterology Physician |
| 202004455 | NC | MD | Gastroenterology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Euclid Hospital Cleveland Clinic Health System | Current | Accepting new patients | |
| Moses Cone Physician Services, Inc. | Multi-Specialty | Current | Accepting new patients |
| Gastroenterology Associates of Southwest Florida LLC | Multi-Specialty | Current | Accepting new patients |
| Associates in Digestive Health LLC | Multi-Specialty | Current | Accepting new patients |
| The Moses H. Cone Memorial Hospital Operating Corporation | Multi-Specialty | Current | Accepting new patients |
| Moses Cone Physician Services Inc | Multi-Specialty | Current | Accepting new patients |
| The Moses H Cone Memorial Hospital Operating Corporation | Current | Accepting new patients | |
| Moses Cone Physician Services, Inc. | Multi-Specialty | Current | Accepting new patients |
| The Moses H Cone Memorial Hospital Operating Corporation | Multi-Specialty | Current | Accepting new patients |
Locations
929 N Spring Garden Ave
Ste 150
Deland, FL 32720
Phone (386) 339-2692
4790 Barkley Cir
Ste A
Fort Myers, FL 33907
Phone (239) 275-8882
835 Currency Cir
Ste 1001
Lake Mary, FL 32746
Phone (407) 749-6656
509 N Elam Ave
Fl 3
Greensboro, NC 27403
Phone (336) 832-1970
301 E Wendover Ave
Ste 411
Greensboro, NC 27401
Phone (336) 832-3200
233 Gilmer St
Reidsville, NC 27320
Phone (336) 342-6196
621 S Main St
Reidsville, NC 27320
Phone (336) 348-6924
621 S Main St
Ste 205
Reidsville, NC 27320
Phone (336) 342-6880
Interoperability endpoints
- daniel.castanedamayorga@ud.eclinicaldirectplus.com
- dcastanedamayorga649868@direct.ccf.org
Organizations & group practices 9
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.
-
- Internal Medicine Physician
- Greensboro, NC
- NPI 1093953127
Multi-Specialty
-
- Internal Medicine Physician
- Greensboro, NC
- NPI 1013265909
Multi-Specialty
-
- Internal Medicine Physician
- Ft Myers, FL
- NPI 1154304087
Multi-Specialty
-
- Hospitalist Physician
- Greensboro, NC
- NPI 1326363383
Multi-Specialty
-
- Family Medicine Physician
- Greensboro, NC
- NPI 1811424849
Multi-Specialty
-
- Internal Medicine Physician
- Greensboro, NC
- NPI 1356372064
Multi-Specialty
-
- Community/Retail Pharmacy
- Eden, NC
- NPI 1861222507
-
- Gastroenterology Physician
- Cape Coral, FL
- NPI 1790868099
Multi-Specialty
-
- General Acute Care Hospital
- Euclid, OH
- NPI 1457403016
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Greensboro, NC
- NPI 1477591055
-
- General Acute Care Hospital
- Sanford, FL
- NPI 1285681908
-
- General Acute Care Hospital
- Deland, FL
- NPI 1649367269
-
- General Acute Care Hospital
- Orange City, FL
- NPI 1700978558
-
- Internal Medicine Physician
- Orange City, FL
- NPI 1902095078
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1435881600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1626652800000",
"number": "1649653932",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2950 CLEVELAND CLINIC BLVD",
"city": "WESTON",
"state": "FL",
"postal_code": "333313609",
"telephone_number": "954-659-5000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "621 S MAIN ST",
"city": "REIDSVILLE",
"state": "NC",
"postal_code": "273205033",
"telephone_number": "336-342-6880"
}
],
"practiceLocations": [
{
"address_1": "2950 Cleveland Clinic Blvd",
"address_purpose": "LOCATION",
"city": "Weston",
"state": "FL",
"postal_code": "333313609",
"country_code": "US",
"telephone_number": "954-659-5000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CASTANEDA MAYORGA",
"first_name": "DANIEL",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2015-07-03",
"last_updated": "2021-07-19",
"certification_date": "2021-07-19",
"status": "A"
},
"taxonomies": [
{
"code": "207RG0100X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Gastroenterology",
"state": "FL",
"license": "TRN25978",
"primary": false
},
{
"code": "207RG0100X",
"taxonomy_group": "",
"desc": "Internal Medicine, Gastroenterology",
"state": "NC",
"license": "202004455",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Reidsville, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2021; 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.