Organization Active NPI

Polimed Primary Care, PLLC

  • Internal Medicine Physician
  • Houston, TX
National Provider Identifier
1649916701
Registry record updated Dec 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
POLIMED PRIMARY CARE, PLLC
Practice address
12600 N Featherwood Dr Ste 100
Houston, TX 77034-4435
Phone
(281) 709-6394
Fax
(281) 805-1914
NPI assigned
May 10, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 7, 2023

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

Authorized official

Name
Dr. Adonis Leovigildo Castillo, MDNPI 1346777158
Title
Physician
Phone
(281) 709-6394

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

12600 N Featherwood Dr Ste 100
Houston, TX 77034-4435

Mailing address

12600 N Featherwood Dr Ste 100
Houston, TX 77034-4435
Phone (281) 709-6394

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220921000181 TX Part B Supplier - Clinic/Group Practice 7911382346 Receives reassigned benefits from 1 practitioner
Practice locations: Houston, TX

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D2257464Polimed Primary Care, PLLC12600 N Featherwood Drive, Houston, TX 77034Certificate of waiverApr 4, 2028

National Provider Directory

National Provider Directory

Locations

12600 N Featherwood Dr
Ste 100
Houston, TX 77034
Phone (281) 709-6394

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1652140800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701907200000",
    "number": "1649916701",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12600 N FEATHERWOOD DR STE 100",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770344435",
            "telephone_number": "281-709-6394",
            "fax_number": "281-805-1914"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12600 N FEATHERWOOD DR STE 100",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770344435",
            "telephone_number": "281-709-6394",
            "fax_number": "281-805-1914"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POLIMED PRIMARY CARE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-10",
        "last_updated": "2023-12-07",
        "certification_date": "2023-12-07",
        "status": "A",
        "authorized_official_last_name": "CASTILLO",
        "authorized_official_first_name": "ADONIS",
        "authorized_official_middle_name": "LEOVIGILDO",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "281-709-6394",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.