Individual provider Active NPI

Jason Castro, FNP-C

  • Neurology Physician
  • Tucson, AZ
National Provider Identifier
1669873220
Registry record updated Jun 27, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
AP7300 Issued in AZ
Practice address
6567 E Carondelet Dr Ste 305
Tucson, AZ 85710-6160
Phone
(520) 881-8400
Fax
(520) 881-6563
NPI assigned
Sep 12, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 27, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP7300 AZ
Neurology Physician 2084N0400X AP7300 AZ Primary

Addresses

Primary practice location

6567 E Carondelet Dr Ste 305
Tucson, AZ 85710-6160

Mailing address

1631 W Ina Rd
Suite 151
Tucson, AZ 85704-1985
Phone (520) 742-1833

Other practice location 1

1631 W Ina Rd
Suite 151
Tucson, AZ 85704-1985
Phone (520) 742-1833

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190731002190 AZ Practitioner - Nurse Practitioner 2567752488 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Tucson Physician Group Holdings LLCGroup PAC ID 0547560070, 200 clinicians

Practice addresses (Care Compare)

6567 E Carondelet Dr
Suite 305
Tucson, AZ 85710-6160
Phone (520) 881-8400

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
AP7300AZMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Tucson Physician Group Holdings, LLC CurrentSince Jun 22, 2019 Accepting new patients
Carondelet Medical Group, Inc Family Past Accepting new patients

Locations

6567 E Carondelet Dr
Tucson, AZ 85710
Phone (520) 296-2454

551 W Magee Rd
Tucson, AZ 85704
Phone (520) 498-6467

395 N Silverbell Rd
Ste 355
Tucson, AZ 85745
Phone (520) 622-5912

6567 E Carondelet Dr
Ste 305
Tucson, AZ 85710
Phone (520) 881-8400

Interoperability endpoints

  • Direct secure messaging: jason.castro.1@600.direct.athenahealth.com
  • FHIR API: https://fhir-myrecord.cerner.com/r4/MmWbh382tKlbvAIA1_DeLlIjYVSwroch/

Organizations & group practices 2

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 1

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": "1410480000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1561593600000",
    "number": "1669873220",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1631 W INA RD",
            "address_2": "SUITE 151",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857041985",
            "telephone_number": "520-742-1833",
            "fax_number": "520-742-7548"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6567 E CARONDELET DR STE 305",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857106160",
            "telephone_number": "520-881-8400",
            "fax_number": "520-881-6563"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1631 W Ina Rd",
            "address_2": "Suite 151",
            "address_purpose": "LOCATION",
            "city": "Tucson",
            "state": "AZ",
            "postal_code": "857041985",
            "country_code": "US",
            "telephone_number": "520-742-1833",
            "fax_number": "520-742-7548",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CASTRO",
        "first_name": "JASON",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-09-12",
        "last_updated": "2019-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "AP7300",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "AZ",
            "license": "AP7300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

Verify at the official NPI Registry.