Organization Active NPI

Carlos Fernandez-del Castillo, MD

  • Surgery Physician
  • Boston, MA
National Provider Identifier
1699969006
Registry record updated Aug 29, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
78466 Issued in MA
Legal business name
CARLOS FERNANDEZ-DEL CASTILLO, MD
Practice address
15 Parkman St
Wac 460
Boston, MA 02114-3117
Phone
(617) 726-5644
Fax
(617) 724-3383
NPI assigned
Aug 29, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2007

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

Authorized official

Name
Carlos F Fernandez-del Castillo, M.D.
Title
Provider
Phone
(617) 726-5644

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RG0100X 78466 MA
Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208600000X 78466 MA Primary

Addresses

Primary practice location

15 Parkman St
Wac 460
Boston, MA 02114-3117

Mailing address

15 Parkman St
Wac 460
Boston, MA 02114-3117
Phone (617) 726-5644

Other identifiers 3

IdentifierTypeStateIssuer
722156OtherMATUFTS
3081826MedicaidMA
M18870OtherMABLUE SHIELD

National Provider Directory

National Provider Directory

Locations

15 Parkman St
#460
Boston, MA 02114
Phone (617) 643-4459

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": "1188345600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1188345600000",
    "number": "1699969006",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 PARKMAN ST",
            "address_2": "WAC 460",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021143117",
            "telephone_number": "617-726-5644",
            "fax_number": "617-724-3383"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 PARKMAN ST",
            "address_2": "WAC 460",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021143117",
            "telephone_number": "617-726-5644",
            "fax_number": "617-724-3383"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARLOS FERNANDEZ-DEL CASTILLO, MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-29",
        "last_updated": "2007-08-29",
        "status": "A",
        "authorized_official_last_name": "FERNANDEZ-DEL CASTILLO",
        "authorized_official_first_name": "CARLOS",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "PROVIDER",
        "authorized_official_telephone_number": "617-726-5644",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "MA",
            "license": "78466",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery",
            "state": "MA",
            "license": "78466",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUFTS",
            "identifier": "722156",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3081826",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "M18870",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Boston, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.