Active NPI
Gian Carlo Queiroz Macedo Castor
- Cardiovascular Disease Physician
- Jeffersonville, IN
National Provider Identifier
1649766841
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- 01093282A
- Practice address
- 41 Quartermaster CT
Jeffersonville, IN 47130-3623 - Phone
- (812) 282-1617
- NPI assigned
- Jul 11, 2018
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Cardiovascular Disease Physician | 207RC0000X | 01093282A | IN | Primary |
Addresses
Primary practice location
41 Quartermaster CT
Jeffersonville, IN 47130-3623
Mailing address
1901 Campus PL
Louisville, KY 40299-2308
Phone (502) 253-4924
Other practice location 1
263 Farmington Ave # Lm068
Farmington, CT 06030-1921
Phone (860) 679-6296
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Cardiovascular Disease (Cardiology)
- Education
- Other, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
41 Quartermaster CT
Jeffersonville, IN 47130-3623
Phone (812) 282-1617
Hospital & facility affiliations
- Baptist Health Floyd
- Ascension St Vincent Salem
- Indiana University Health Paoli Hospital
- Baptist Health Lagrange
- Harrison County Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 94.29 of 100
- Quality
- 87.32
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Baptist Health Medical Group Inc | Current | Accepting new patients | |
| Baptist Health Medical Group Inc | Current | Accepting new patients | |
| Baptist Health Medical Group Inc | Current | Accepting new patients |
Locations
41 Quartermaster Ct
Jeffersonville, IN 47130
Phone (812) 282-1617
1373 N State Road 62
Madison, IN 47250
Phone (812) 801-0196
2109 Green Valley Rd
New Albany, IN 47150
Phone (812) 944-4720
1850 State St
New Albany, IN 47150
Phone (812) 944-7701
5200 Commerce Crossings Dr
Fl 3
Louisville, KY 40229
Phone (502) 253-4924
1901 Campus Pl
Louisville, KY 40299
Phone (502) 253-4911
Organizations & group practices 3
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
- Louisville, KY
- NPI 1780961300
-
- Rural Health Clinic/Center
- Dawson Springs, KY
- NPI 1982178216
Hospital & facility affiliations 8
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- New Albany, IN
- NPI 1497798847
-
- General Acute Care Hospital
- Corydon, IN
- NPI 1427165455
-
- Critical Access Hospital
- Corydon, IN
- NPI 1851378137
-
- Critical Access Hospital
- Paoli, IN
- NPI 1912984451
-
- Critical Access Hospital
- Salem, IN
- NPI 1427388982
-
- General Acute Care Hospital
- La Grange, KY
- NPI 1306925540
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1531267200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1725580800000",
"number": "1649766841",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1901 CAMPUS PL",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402992308",
"telephone_number": "502-253-4924"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "41 QUARTERMASTER CT",
"city": "JEFFERSONVILLE",
"state": "IN",
"postal_code": "471303623",
"telephone_number": "812-282-1617"
}
],
"practiceLocations": [
{
"address_1": "263 Farmington Ave # Lm068",
"address_purpose": "LOCATION",
"city": "Farmington",
"state": "CT",
"postal_code": "060301921",
"country_code": "US",
"telephone_number": "860-679-6296",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CASTOR",
"first_name": "GIAN CARLO",
"middle_name": "QUEIROZ MACEDO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-07-11",
"last_updated": "2024-09-06",
"certification_date": "2024-09-06",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "IN",
"license": "01093282A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Jeffersonville, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2024; 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.