Jerry F Castilleja, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

H9456 Issued in TX

Practice address

1104 Jefferson Ave
Seguin, TX 78155-5910

Phone

(830) 379-9797

Fax

(855) 504-3083

NPI assigned

Feb 2, 2007

Sex

Male

Sole proprietor

No

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.

• Allied Institute of Medicine, PLLC

  • Family Medicine Physician
  • San Antonio, TX
  • NPI 1023028669

  Family Medicine

  NPD (past)
• Citizens Medical Center County of Victoria

  • General Acute Care Hospital
  • Victoria, TX
  • NPI 1124052162
  NPD (past)

Medicare fee-for-service enrollment

Enrolled in TX

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jun 4, 2021.

{
    "created_epoch": "1170374400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1622764800000",
    "number": "1720126659",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1890",
            "city": "GONZALES",
            "state": "TX",
            "postal_code": "786291390",
            "telephone_number": "830-672-6511",
            "fax_number": "830-672-6430"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1104 JEFFERSON AVE",
            "city": "SEGUIN",
            "state": "TX",
            "postal_code": "781555910",
            "telephone_number": "830-379-9797",
            "fax_number": "855-504-3083"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2060 S Colorado St",
            "address_purpose": "LOCATION",
            "city": "Lockhart",
            "state": "TX",
            "postal_code": "786443951",
            "country_code": "US",
            "telephone_number": "830-494-4001",
            "fax_number": "877-599-5676",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "111 S Laurel Ave",
            "address_purpose": "LOCATION",
            "city": "Luling",
            "state": "TX",
            "postal_code": "786482624",
            "country_code": "US",
            "telephone_number": "830-875-6399",
            "fax_number": "855-825-2552",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "228 Saint George St",
            "address_purpose": "LOCATION",
            "city": "Gonzales",
            "state": "TX",
            "postal_code": "786293910",
            "country_code": "US",
            "telephone_number": "830-672-6511",
            "fax_number": "830-500-3623",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CASTILLEJA",
        "first_name": "JERRY",
        "middle_name": "F",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-02",
        "last_updated": "2021-06-04",
        "certification_date": "2021-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "H9456",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "10575839",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Melanie S Carreon, MD
• Curtis G Carriker, M.D.
• Kathryn Carrillo
• Cassy Carroll-Schronk, FNP-C
• Elvia A Casarez
• Itzayan Ixel Castillo
• Janie Castillo
• Elsa Cristina Castleberry, MMFT, LPC
• Rebecca Castro, M.D.
• Molly Nicole Cator

• All providers in Seguin, TX
• Family Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.