Guillermo Orestes Castellvi, MD

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

ME 44641 Issued in FL

Practice address

11033 Countryway Blvd
Suite a
Tampa, FL 33626-2628

Phone

(813) 496-9900

Fax

(813) 496-9920

NPI assigned

Mar 9, 2007

Last updated

Mar 17, 2015By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 4

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 Surgery

Education

Other, 1981

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Networks

• Optimum HealthCare HMO Network
• Freedom Health HMO Network

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Guillermo Castellvi MD PA

  • Surgery Physician
  • Tampa, FL
  • NPI 1427421106
  Medicare reassignment NPD Authorized official
• Active Orthopedics, LLC

  • Orthopaedic Surgery Physician
  • Palm Harbor, FL
  • NPI 1952685356
  NPD (past)
• G. Castellvi, M.D.

  • Specialist
  • Tampa, FL
  • NPI 1154500569
  NPD (past)
• West Chase Surgery Center , LLC

  • Ambulatory Surgical Clinic/Center
  • Tampa, FL
  • NPI 1285874065
  NPD (past)

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

{
    "created_epoch": "1173398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1426550400000",
    "number": "1750413514",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 320502",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336792502",
            "telephone_number": "813-496-9900",
            "fax_number": "813-496-9920"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11033 COUNTRYWAY BLVD",
            "address_2": "SUITE A",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336262628",
            "telephone_number": "813-496-9900",
            "fax_number": "813-496-9920"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CASTELLVI",
        "first_name": "GUILLERMO",
        "middle_name": "ORESTES",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-09",
        "last_updated": "2015-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "FL",
            "license": "ME 44641",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AVMED",
            "identifier": "229183",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF FL",
            "identifier": "04050",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "259319000",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "010022933",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nallelys De la Caridad Castellanos
• Coleen Castello, MSW, LCSW
• Yeilin Castellon Pineiro
• Eric Dean Castellucci, MD
• Antonio Ortelio Castellvi, M.D,
• Jorge I Castellvi, M.D.
• Thalia Castilla Garrote
• Aleishkadalys Castillo Agosto
• Yanet T Castillo Lorente
• Jorge Enrique Castillo Molina

• Surgery Physician in Tampa, FL
• Providers in Tampa, FL by specialty
• Surgery Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2015; 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.