Individual provider Active NPI

Pierre Castera, M.D.

  • Colon & Rectal Surgery Physician
  • Overland Park, KS
National Provider Identifier
1689678096
Registry record updated Jan 24, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Colon & Rectal Surgery PhysicianTaxonomy code 208C00000X
License
104225 Issued in MO
Practice address
4370 W 109TH St
Suite 350
Overland Park, KS 66211-1361
Phone
(816) 941-0800
Fax
(816) 941-0080
NPI assigned
Jun 13, 2005
Last updated
Jan 24, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 24, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Colon & Rectal Surgery Physician 208C00000X 0430049 KS
Colon & Rectal Surgery Physician 208C00000X 104225 MO Primary

Addresses

Primary practice location

4370 W 109TH St
Suite 350
Overland Park, KS 66211-1361

Mailing address

6060 N Oak Trfy
Suite 101
Gladstone, MO 64118-5130
Phone (816) 941-0800

Other identifiers 2

IdentifierTypeStateIssuer
100185760BMedicaidKS
207931205MedicaidMO

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address PIERRE.CASTERA@hca2.eclinicaldirectplus.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS
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
I20110107000039 KS Practitioner - Colorectal Surgery (Proctology) 3476612060

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
104225MOMDColon & Rectal Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Kansas City Vascular & General Surgery Group LLC Past Accepting new patients
Carondelet Physician Services, Inc. Past Accepting new patients
Menorah Medical Group, LLC Past Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1118620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642982400000",
    "number": "1689678096",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6060 N OAK TRFY",
            "address_2": "SUITE 101",
            "city": "GLADSTONE",
            "state": "MO",
            "postal_code": "641185130",
            "telephone_number": "816-941-0800",
            "fax_number": "816-941-0080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4370 W 109TH ST",
            "address_2": "SUITE 350",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662111361",
            "telephone_number": "816-941-0800",
            "fax_number": "816-941-0080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CASTERA",
        "first_name": "PIERRE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-13",
        "last_updated": "2022-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208C00000X",
            "taxonomy_group": "",
            "desc": "Colon & Rectal Surgery",
            "state": "KS",
            "license": "0430049",
            "primary": false
        },
        {
            "code": "208C00000X",
            "taxonomy_group": "",
            "desc": "Colon & Rectal Surgery",
            "state": "MO",
            "license": "104225",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100185760B",
            "state": "KS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "207931205",
            "state": "MO"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "PIERRE.CASTERA@hca2.eclinicaldirectplus.com",
            "affiliation": "N",
            "address_1": "4370 W 109th St",
            "address_2": "SUITE 350",
            "city": "Overland Park",
            "state": "KS",
            "country_code": "US",
            "postal_code": "662111361",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Overland Park, KS

Sources for this page

Verify at the official NPI Registry.