Martin Castillo, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

Practice address

13617 Caldwell Dr Ste 100
Austin, TX 78750-2324

Phone

(512) 846-7110

NPI assigned

Apr 5, 2022

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Republic Spine and Pain, PAGroup PAC ID 9335333863, 14 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

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.

• Republic Spine and Pain, P.a.

  • Interventional Pain Medicine Physician
  • Austin, TX
  • NPI 1831410323
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1649116800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668729600000",
    "number": "1720729403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "230 KERLEY DR",
            "city": "HUTTO",
            "state": "TX",
            "postal_code": "786344368",
            "telephone_number": "512-913-3073"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13617 CALDWELL DR STE 100",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787502324",
            "telephone_number": "512-846-7110"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "306 W 4th St",
            "address_purpose": "LOCATION",
            "city": "Georgetown",
            "state": "TX",
            "postal_code": "786264906",
            "country_code": "US",
            "telephone_number": "512-943-1378",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CASTILLO",
        "first_name": "MARTIN",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-04-05",
        "last_updated": "2022-11-18",
        "certification_date": "2022-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PROFESSIONAL LICENSE NUMBER",
            "identifier": "PA16218",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Donna Jean Castillo
• Gabriela Castillo
• Hailee Juel Castillo, MS, RD, LD
• Laura E. Castillo, L.AC.
• Linda Castillo, NNP
• Natalie Castillo, MOT/OTR
• Rene Alberto Castillo, MD
• Tina Castillo, PHARM. D
• Castle Dental Associates of Texas PC
• Bronwynne Castle, FNP-C

• Physician Assistant in Austin, TX
• Providers in Austin, TX by specialty
• Physician Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2022; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.