Individual provider Active NPI

Dario Roman Castellanos, M.D.

  • Internal Medicine Physician
  • Bronx, NY
National Provider Identifier
1700874336
Registry record updated Apr 26, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
099171 Issued in NY
Practice address
391 E 149TH St
Suite #214
Bronx, NY 10455-3907
Phone
(718) 665-8300
Fax
(718) 665-8301
NPI assigned
Oct 7, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 26, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 099171 NY Primary

Addresses

Primary practice location

391 E 149TH St
Suite #214
Bronx, NY 10455-3907

Mailing address

391 E 149TH St
Suite #214
Bronx, NY 10455-3907
Phone (718) 665-8300

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20050128000514 NY Practitioner - Internal Medicine 2961452701 Reassigns benefits to 1 organization
Practice locations: Bronx, NY

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
099171NYMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Amth Medical PC Internal Medicine CurrentSince Jul 17, 2016 Accepting new patients

Locations

369 E 149th St
Fl 4
Bronx, NY 10455
Phone (718) 450-2259

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/JJBFAD

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1128643200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1272240000000",
    "number": "1700874336",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "391 E 149TH ST",
            "address_2": "SUITE #214",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104553907",
            "telephone_number": "718-665-8300",
            "fax_number": "718-665-8301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "391 E 149TH ST",
            "address_2": "SUITE #214",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104553907",
            "telephone_number": "718-665-8300",
            "fax_number": "718-665-8301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CASTELLANOS",
        "first_name": "DARIO",
        "middle_name": "ROMAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-10-07",
        "last_updated": "2010-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "099171",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

Verify at the official NPI Registry.