Individual provider Active NPI

Daniel Castaneda Mayorga, M.D.

  • Gastroenterology Physician
  • Reidsville, NC
National Provider Identifier
1649653932
Registry record updated Jul 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
202004455 Issued in NC
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

Updated by the provider on Jul 19, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 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, FL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20210714000315 NC Practitioner - GastroenterologyPractitioner - Internal Medicine 8628470622 Reassigns benefits to 2 organizations
I20260224004148 FL Practitioner - Gastroenterology 8628470622 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
GastroenterologyAlso: Internal Medicine
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Moses Cone Physician Services, IncGroup PAC ID 4284782210, 397 clinicians
The Moses H Cone Memorial Hospital Operating CorporationGroup PAC ID 6204744600, 724 clinicians
Gastroenterology Associates of Southwest Florida LLCGroup PAC ID 8628960937, 62 clinicians

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 Hospital, Greensboro, NC, CCN 340091
  • Central Florida Lake Monroe Hospital Hospital, Sanford, FL, CCN 100161
  • Adventhealth Deland Hospital, Deland, FL, CCN 100045
  • Adventhealth Fish Memorial Hospital, Orange City, FL, CCN 100072

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy69
Upper gastrointestinal (GI) endoscopy for acid reflux82

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
TRN25978FLMDGastroenterology Physician
202004455NCMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Euclid Hospital Cleveland Clinic Health System Current Accepting new patients
Moses Cone Physician Services, Inc. Multi-Specialty CurrentSince Jul 8, 2021 Accepting new patients
Gastroenterology Associates of Southwest Florida LLC Multi-Specialty CurrentSince Jan 19, 2026 Accepting new patients
Associates in Digestive Health LLC Multi-Specialty CurrentSince Jan 19, 2026 Accepting new patients
The Moses H. Cone Memorial Hospital Operating Corporation Multi-Specialty Current Accepting new patients
Moses Cone Physician Services Inc Multi-Specialty CurrentSince Jul 8, 2021 Accepting new patients
The Moses H Cone Memorial Hospital Operating Corporation CurrentSince Mar 8, 2025 Accepting new patients
Moses Cone Physician Services, Inc. Multi-Specialty Current Accepting new patients
The Moses H Cone Memorial Hospital Operating Corporation Multi-Specialty CurrentSince Mar 8, 2025 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

  • Direct secure messaging: daniel.castanedamayorga@ud.eclinicaldirectplus.com
  • Direct secure messaging: 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.

Hospital & facility affiliations 5

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": "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

Verify at the official NPI Registry.