Organization Active NPI

Gregg C. Castillo, MD, PA

  • Family Medicine Physician
  • Houston, TX
National Provider Identifier
1740450147
Registry record updated May 5, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
M4728 Issued in TX
Legal business name
GREGG C. CASTILLO, MD, PA
Practice address
13176 W Lake Houston Pkwy Ste 4
Houston, TX 77044-5381
Phone
(281) 436-0061
Fax
(281) 436-1128
NPI assigned
Mar 3, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 5, 2021

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

Authorized official

Name
Dr. Gregg Ceniza Castillo, MDNPI 1508928185
Title
Owner
Phone
(281) 436-0061

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X M4728 TX Primary

Addresses

Primary practice location

13176 W Lake Houston Pkwy Ste 4
Houston, TX 77044-5381

Mailing address

13176 W Lake Houston Pkwy Ste 4
Houston, TX 77044-5381
Phone (281) 436-0061

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080520000305 TX Part B Supplier - Clinic/Group Practice 2466521240 Receives reassigned benefits from 1 practitioner
Practice locations: Houston, TX

National Provider Directory

National Provider Directory

Locations

14954 Mesa Dr
Ste 107
Humble, TX 77396
Phone (281) 458-8400

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1204502400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1620172800000",
    "number": "1740450147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13176 W LAKE HOUSTON PKWY STE 4",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770445381",
            "telephone_number": "281-436-0061",
            "fax_number": "281-436-1128"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13176 W LAKE HOUSTON PKWY STE 4",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770445381",
            "telephone_number": "281-436-0061",
            "fax_number": "281-436-1128"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREGG C. CASTILLO, MD, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-03",
        "last_updated": "2021-05-05",
        "certification_date": "2021-05-05",
        "status": "A",
        "authorized_official_last_name": "CASTILLO",
        "authorized_official_first_name": "GREGG",
        "authorized_official_middle_name": "CENIZA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "281-436-0061",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "M4728",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.