Individual provider Active NPI

Mario Castro Medina, MD

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Pittsburgh, PA
National Provider Identifier
1649750951
Registry record updated Nov 20, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianTaxonomy code 208G00000X
License
MD465293 Issued in PA
Practice address
Upmc Childrens Hospital of Pittsburgh
4401 Penn Avenue Faculty Pavillion 5TH Floor
Pittsburgh, PA 15224
Phone
(412) 692-5218
Fax
(412) 692-5817
NPI assigned
Aug 16, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2018

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Transplant Surgery Physician 204F00000X MD465293 PA
Surgery Physician 208600000X MD465293 PA
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician 208G00000X MD465293 PA Primary

Addresses

Primary practice location

Upmc Childrens Hospital of Pittsburgh
4401 Penn Avenue Faculty Pavillion 5TH Floor
Pittsburgh, PA 15224

Mailing address

Upmc Childrens Hospital of Pittsburgh
4401 Penn Avenue Faculty Pavillion 5TH Floor
Pittsburgh, PA 15224
Phone (412) 692-5218

Other names 1

  • Mario Castro-Medina Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, 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
I20181012000264 PA Practitioner - Cardiac SurgeryPractitioner - Thoracic Surgery 6901158369 Reassigns benefits to 1 organization
I20220621001664 FL Practitioner - Thoracic Surgery 6901158369 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiac SurgeryAlso: Thoracic Surgery
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
University of Pittsburgh PhysiciansGroup PAC ID 8729990239, 4,166 clinicians

Practice addresses (Care Compare)

4401 Penn Ave
Pittsburgh, PA 15224-1334
Phone (412) 692-9513

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD465293PAMDTransplant Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University of Pittsburgh Physicians Current Accepting new patients
Baycare Medical Group, Inc. Surgery CurrentSince Mar 18, 2022 Accepting new patients
University of Pittsburgh Physicians Surgery CurrentSince Aug 20, 2018 Accepting new patients
Baycare Medical Group, Inc. CurrentSince Mar 18, 2022 Accepting new patients
University of Pittsburgh Physicians CurrentSince Aug 20, 2018 Accepting new patients
Windber Hospital, Inc. Past Accepting new patients
Upmc Emergency Medicine Inc Past Accepting new patients

Locations

2461 Enterprise Rd
Ste C
Clearwater, FL 33763
Phone (727) 725-5060

2995 Drew St
Fl 2
Clearwater, FL 33759
Phone (727) 315-7234

6633 Forest Ave
Ste 105
New Prt Rchy, FL 34653
Phone (727) 845-4300

2 Hot Metal St
#One
Pittsburgh, PA 15203
Phone (412) 432-5864

4401 Penn Ave
Fl 5
Pittsburgh, PA 15224
Phone (412) 692-5540

300 Halket St
Ste 5200
Pittsburgh, PA 15213
Phone (412) 641-7850

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1534377600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1542672000000",
    "number": "1649750951",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "UPMC CHILDRENS HOSPITAL OF PITTSBURGH",
            "address_2": "4401 PENN AVENUE FACULTY PAVILLION 5TH FLOOR",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "15224",
            "telephone_number": "412-692-5218",
            "fax_number": "412-692-5817"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "UPMC CHILDRENS HOSPITAL OF PITTSBURGH",
            "address_2": "4401 PENN AVENUE FACULTY PAVILLION 5TH FLOOR",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "15224",
            "telephone_number": "412-692-5218",
            "fax_number": "412-692-5817"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CASTRO MEDINA",
        "first_name": "MARIO",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-08-16",
        "last_updated": "2018-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "204F00000X",
            "taxonomy_group": "",
            "desc": "Transplant Surgery",
            "state": "PA",
            "license": "MD465293",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "PA",
            "license": "MD465293",
            "primary": false
        },
        {
            "code": "208G00000X",
            "taxonomy_group": "",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "PA",
            "license": "MD465293",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARIO",
            "last_name": "CASTRO-MEDINA",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Pittsburgh, PA

Sources for this page

Verify at the official NPI Registry.