Active NPI
Stephanie Marie Castrillo
- Neonatal-Perinatal Medicine Physician
- Phoenix, AZ
National Provider Identifier
1730336447
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neonatal-Perinatal Medicine Physician
- License
- 47394
- Practice address
- 3877 N 7TH St Ste 400
Phoenix, AZ 85014-5061 - Phone
- (480) 244-2971
- NPI assigned
- Aug 25, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neonatal-Perinatal Medicine Physician | 2080N0001X | 47394 | AZ | Primary |
| Pediatrics Physician | 208000000X | 47394 | AZ |
Addresses
Primary practice location
3877 N 7TH St Ste 400
Phoenix, AZ 85014-5061
Mailing address
10080 E Mountainview Lake Dr
Unit 106
Scottsdale, AZ 85258-6323
Phone (480) 244-2971
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20130719000123 | AZ | Order and Referring Only - Pediatric Medicine | 2769623628 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 47394 | AZ | MD | Neonatal-Perinatal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Honorhealth | Past | Accepting new patients | |
| Banner Desert Medical Center | Past | Accepting new patients | |
| Banner Health | Past | Accepting new patients | |
| Banner Health | Past | Accepting new patients | |
| Honorhealth | Past | Accepting new patients |
Organizations & group practices 5
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.
-
- General Acute Care Hospital
- Mesa, AZ
- NPI 1720011810
-
- General Acute Care Hospital
- Casa Grande, AZ
- NPI 1003232976
-
- General Acute Care Hospital
- Chandler, AZ
- NPI 1972139004
-
- General Acute Care Hospital
- Phoenix, AZ
- NPI 1265063010
-
- General Acute Care Hospital
- Scottsdale, AZ
- NPI 1386608859
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1219622400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1375920000000",
"number": "1730336447",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10080 E MOUNTAINVIEW LAKE DR",
"address_2": "UNIT 106",
"city": "SCOTTSDALE",
"state": "AZ",
"postal_code": "852586323",
"telephone_number": "480-244-2971"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3877 N 7TH ST STE 400",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850145061",
"telephone_number": "480-244-2971"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CASTRILLO",
"first_name": "STEPHANIE",
"middle_name": "MARIE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-08-25",
"last_updated": "2013-08-08",
"status": "A"
},
"taxonomies": [
{
"code": "2080N0001X",
"taxonomy_group": "",
"desc": "Pediatrics, Neonatal-Perinatal Medicine",
"state": "AZ",
"license": "47394",
"primary": true
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "AZ",
"license": "47394",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Phoenix, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2013; 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.