Individual provider Active NPI

Plutarco E Castellanos, MD

  • Pulmonary Disease Physician
  • Leominster, MA
National Provider Identifier
1669463303
Registry record updated Oct 6, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
211028 Issued in MA
Practice address
50 Memorial Drive
Suite 113
Leominster, MA 01453
Phone
(978) 466-2692
Fax
(978) 466-4754
NPI assigned
Nov 2, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2010

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 211208 MA
Pulmonary Disease Physician 207RP1001X 211028 MA Primary
Critical Care Medicine (Internal Medicine) Physician 207RC0200X 211028 MA
Allergy & Immunology (Internal Medicine) Physician 207RA0201X 211028 MA

Addresses

Primary practice location

50 Memorial Drive
Suite 113
Leominster, MA 01453

Mailing address

PO Box 726
Leominster, MA 01453
Phone (978) 466-2692

Other identifiers 2

IdentifierTypeStateIssuer
0167801MedicaidMA
M20928OtherGROUP MEDICAL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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 1

Enrollment IDStateProvider typePAC IDDetails
I20051227000548 MA Practitioner - Pulmonary DiseasePractitioner - Internal MedicinePractitioner - Critical Care (Intensivists) 3779505250 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pulmonary DiseaseAlso: Critical Care (Intensivists), Internal Medicine
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mass Lung and Allergy PCGroup PAC ID 5698830347, 10 clinicians

Practice addresses (Care Compare)

340 Thompson Rd
Webster, MA 01570-1509
Phone (978) 466-2692

Hospital & facility affiliations

  • Umass Memorial Healthalliance Hospitals Hospital, Leominster, MA, CCN 220001
  • Heywood Hospital - Hospital, Gardner, MA, CCN 220095
  • Umass Memorial Medical Center/University Campus Hospital, Worcester, MA, CCN 220163
  • Umass Memorial Health - Harrington Hospital Hospital, Southbridge, MA, CCN 220019
  • Marlborough Hospital Hospital, Marlborough, MA, CCN 220049

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as apm
Quality
82.98
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
211208MAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Umass Memorial Medical Group Inc Internal Medicine CurrentSince Jul 1, 2018 Accepting new patients
Mass Lung & Allergy, PC. Critical Care Medicine CurrentSince Jun 9, 2008 Accepting new patients
Umass Memorial Medical Group, Inc. CurrentSince Jul 1, 2018 Accepting new patients
Umass Memorial Healthalliance Clinton Hospital Inc Past Accepting new patients
Coordinated Primary Care, Inc. Past Accepting new patients
Bernard a Westerling III, MD, LLC Past Accepting new patients

Locations

76 Summer St
Ste 210
Fitchburg, MA 01420
Phone (978) 343-9400

242 Green St
Gardner, MA 01440
Phone (978) 258-4734

50 Memorial Dr
Ste 113
Leominster, MA 01453
Phone (978) 466-2692

100 Hospital Rd
Ste 1B
Leominster, MA 01453
Phone (978) 466-4550

100 Hospital Rd
Ste 2A
Leominster, MA 01453
Phone (978) 466-2692

60 Hospital Rd
Leominster, MA 01453
Phone (978) 466-2000

159 Union St
Ste 102
Marlborough, MA 01752
Phone (508) 481-0610

800 Washington St
Norwood, MA 02062
Phone (781) 278-6264

340 Thompson Rd
Webster, MA 01570
Phone (508) 943-2600

119 Belmont St
Worcester, MA 01605
Phone (508) 334-6345

55 Lake Ave N
Worcester, MA 01655
Phone 508334100048862

Interoperability endpoints

  • Direct secure messaging: plutarco.castellanos@mlap.eclinicaldirectplus.com

Organizations & group practices 6

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 7

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": "1130889600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1286323200000",
    "number": "1669463303",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 726",
            "city": "LEOMINSTER",
            "state": "MA",
            "postal_code": "01453",
            "telephone_number": "978-466-2692",
            "fax_number": "978-466-4754"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 MEMORIAL DRIVE",
            "address_2": "SUITE 113",
            "city": "LEOMINSTER",
            "state": "MA",
            "postal_code": "01453",
            "telephone_number": "978-466-2692",
            "fax_number": "978-466-4754"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CASTELLANOS",
        "first_name": "PLUTARCO",
        "middle_name": "E",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-02",
        "last_updated": "2010-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MA",
            "license": "211208",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "MA",
            "license": "211028",
            "primary": true
        },
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "MA",
            "license": "211028",
            "primary": false
        },
        {
            "code": "207RA0201X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Allergy & Immunology",
            "state": "MA",
            "license": "211028",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0167801",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP MEDICAL",
            "identifier": "M20928",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Leominster, MA

Sources for this page

Verify at the official NPI Registry.