Pedro Christian Castellanos, M.D

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

ME141833 Issued in FL

Practice address

3800 Johnson St
Hollywood, FL 33021-6030

Phone

(954) 637-7809

NPI assigned

Apr 25, 2017

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

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

Specialty

General Practice

Education

Other, 2005

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Primary Medical Physicians, LLCGroup PAC ID 4183016991, 13 clinicians

Access Medical Centers LLCGroup PAC ID 4284040734, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

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

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.

• Primary Medical Physicians, LLC

  • General Practice Physician
  • Hollywood, FL
  • NPI 1225622095
  Medicare reassignment Care Compare group NPD
• Access Medical Centers LLC

  • Clinic/Center
  • Doral, FL
  • NPI 1386247351
  Medicare reassignment Care Compare group
• Living Care Therapy Center Inc

  • Community/Behavioral Health Agency
  • Miami, FL
  • NPI 1326695289
  Medicare reassignment NPD
• Primary Medical Physicians, LLC

  • General Practice Physician
  • Hollywood, FL
  • NPI 1952994907
  NPD (past)

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

{
    "created_epoch": "1493078400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701820800000",
    "number": "1730614926",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7050 TAFT ST",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330243804",
            "telephone_number": "954-399-9014"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3800 JOHNSON ST",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330216030",
            "telephone_number": "954-637-7809"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4486 N University Dr",
            "address_purpose": "LOCATION",
            "city": "Lauderhill",
            "state": "FL",
            "postal_code": "333514513",
            "country_code": "US",
            "telephone_number": "954-710-8767",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "900 S Federal Hwy Ste C",
            "address_purpose": "LOCATION",
            "city": "Hollywood",
            "state": "FL",
            "postal_code": "330206051",
            "country_code": "US",
            "telephone_number": "954-398-5192",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7050 Taft St",
            "address_purpose": "LOCATION",
            "city": "Hollywood",
            "state": "FL",
            "postal_code": "330243804",
            "country_code": "US",
            "telephone_number": "954-945-9610",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "601 N Flamingo Rd",
            "address_purpose": "LOCATION",
            "city": "Pembroke Pines",
            "state": "FL",
            "postal_code": "330281015",
            "country_code": "US",
            "telephone_number": "954-466-8021",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7630 SW 34th Mnr Ste 440",
            "address_purpose": "LOCATION",
            "city": "Davie",
            "state": "FL",
            "postal_code": "333281986",
            "country_code": "US",
            "telephone_number": "954-866-8615",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CASTELLANOS",
        "first_name": "PEDRO",
        "middle_name": "CHRISTIAN",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-04-25",
        "last_updated": "2023-12-06",
        "certification_date": "2023-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "FL",
            "license": "ME141833",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Liliana Castaneda, OT
• Tamara Castaneda
• Krystal Castano
• Julio Cesar Castellan, M.D.
• Cristina Castellanos
• Odalis Castellon, PHYSICIAN ASSISTANT
• Linda Bicky Caster, M.A., CCC/SLP
• Yaisy Castillo Caballero
• Israel Castillo Gonzalez
• Alexandra Castillo Matarranz, APRN

• General Practice Physician in Hollywood, FL
• Providers in Hollywood, FL by specialty
• General Practice Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2023; 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.