Organization Active NPI

Coastal Endocrinology LLC

  • Endocrinology, Diabetes & Metabolism Physician
  • Rockledge, FL
National Provider Identifier
1699901504
Registry record updated Aug 27, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
License
ME90073 Issued in FL
Legal business name
COASTAL ENDOCRINOLOGY LLC
Practice address
1019 Harvin Way Ste 120
Rockledge, FL 32955-3286
Phone
(321) 301-1692
NPI assigned
Jun 5, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2020

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

Authorized official

Name
Arturo R Castro, M.D.NPI 1427052901
Title
Physician
Phone
(321) 301-1692

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
Endocrinology, Diabetes & Metabolism PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RE0101X ME90073 FL Primary

Addresses

Primary practice location

1019 Harvin Way Ste 120
Rockledge, FL 32955-3286

Mailing address

2046 Treasure Coast PLZ Ste a-356
Vero Beach, FL 32960-0927
Phone (321) 301-1692

Other identifiers 1

IdentifierTypeStateIssuer
43242OtherFLBCBS

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090615000328 FL Part B Supplier - Clinic/Group Practice 0749330678 Receives reassigned benefits from 1 practitioner
Practice locations: Rockledge, FL; Vero Beach, FL

National Provider Directory

National Provider Directory

Locations

12130 Cortez Blvd
Brooksville, FL 34613
Phone (352) 293-3467

14851 State Road 52
Ste 107140
Hudson, FL 34669

3585 Murrell Rd
Ste B
Rockledge, FL 32955

3069 Anderson Snow Rd
#175
Spring Hill, FL 34609

2046 Treasure Coast Plz
Ste A
Vero Beach, FL 32960

2046 Treasure Coast Plz
Ste A356
Vero Beach, FL 32960

Practitioners & affiliated clinicians

Practitioners 1

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": "1244160000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598486400000",
    "number": "1699901504",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2046 TREASURE COAST PLZ STE A-356",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329600927",
            "telephone_number": "321-301-1692"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1019 HARVIN WAY STE 120",
            "city": "ROCKLEDGE",
            "state": "FL",
            "postal_code": "329553286",
            "telephone_number": "321-301-1692"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COASTAL ENDOCRINOLOGY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-05",
        "last_updated": "2020-08-27",
        "certification_date": "2020-08-27",
        "status": "A",
        "authorized_official_last_name": "CASTRO",
        "authorized_official_first_name": "ARTURO",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "321-301-1692",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "FL",
            "license": "ME90073",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "43242",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockledge, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.