Active NPI
Gregg C. Castillo, MD, PA
- Family Medicine Physician
- Houston, TX
National Provider Identifier
1740450147
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- M4728
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Gregg Ceniza Castillo, MD
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 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
National Provider Directory
National Provider DirectoryLocations
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.
-
- Family Medicine Physician
- Houston, TX
- NPI 1508928185
-
- Family Medicine Physician
- Houston, TX
- NPI 1922247881
-
- Family Medicine Physician
- Houston, TX
- NPI 1447357439
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.