Organization Active NPI

Michael a Castillo MD PC

  • Pain Medicine Physician
  • Glendale, AZ
National Provider Identifier
1750562534
Registry record updated Aug 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine PhysicianTaxonomy code 208VP0000X
License
27636 Issued in AZ
Legal business name
MICHAEL A CASTILLO MD PC
Practice address
11851 N 51St Ave Ste D120
Glendale, AZ 85304-2839
Phone
(602) 242-9891
Fax
(602) 242-9895
NPI assigned
Nov 20, 2007
Last updated
Aug 20, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2026

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

Authorized official

Name
Stephanie Castillo
Title
Practice Manager
Phone
(602) 242-9891

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Anesthesiology) Physician 207LP2900X 27636 AZ
Pain Medicine Physician 208VP0000X 27636 AZ Primary
Interventional Pain Medicine Physician 208VP0014X 27636 AZ

Addresses

Primary practice location

11851 N 51St Ave Ste D120
Glendale, AZ 85304-2839

Mailing address

11851 N 51St Ave Ste D120
Glendale, AZ 85304-2839
Phone (602) 680-8002

Other identifiers 2

IdentifierTypeStateIssuer
6669OtherMEDICARE ID
517419MedicaidAZ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20080320000094 AZ Part B Supplier - Clinic/Group Practice 2062598832 Receives reassigned benefits from 1 practitioner
Practice locations: Glendale, AZ
O20200514002742 AZ DME Supplier - Physician - Interventional Pain Management 2062598832 Practice locations: Glendale, AZ

National Provider Directory

National Provider Directory
Tax ID family
Michael a Castillo MD2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1840 W Maryland Ave
Ste D
Phoenix, AZ 85015
Phone (602) 242-9891

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1195516800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1787184000000",
    "number": "1750562534",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11851 N 51ST AVE STE D120",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853042839",
            "telephone_number": "602-680-8002",
            "fax_number": "602-242-9895"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11851 N 51ST AVE STE D120",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853042839",
            "telephone_number": "602-242-9891",
            "fax_number": "602-242-9895"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL A CASTILLO MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-20",
        "last_updated": "2026-08-20",
        "certification_date": "2026-08-20",
        "status": "A",
        "authorized_official_last_name": "CASTILLO",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "602-242-9891"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "AZ",
            "license": "27636",
            "primary": false
        },
        {
            "code": "208VP0000X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Pain Medicine",
            "state": "AZ",
            "license": "27636",
            "primary": true
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "AZ",
            "license": "27636",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE ID",
            "identifier": "6669",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "517419",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2026; 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.