Active NPI
Carlos Fernandez-del Castillo, MD
- Surgery Physician
- Boston, MA
National Provider Identifier
1699969006
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 78466
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | 78466 | MA | |
| Surgery Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 722156 | Other | MA | TUFTS |
| 3081826 | Medicaid | MA | |
| M18870 | Other | MA | BLUE SHIELD |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Surgery Physician
- Boston, MA
- NPI 1952391500
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.