Nicolas C Casellas Castillo, MD

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

8376 Issued in PR

Practice address

Edif Chinea 655 Calle Pavia
Ste 302
San Juan, PR 00909-2218

Phone

(787) 726-8201

NPI assigned

Apr 27, 2006

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 1

Medicare fee-for-service enrollment

Enrolled in PR

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

Obstetrics/Gynecology

Education

Other, 1985

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Hospital & facility affiliations

• Hospital Pavia Santurce Hospital, San Juan, PR, CCN 400019

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: ncasellascastillo@1408.securemail.prognocis.com

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.

• Provoice LLC

  • Otolaryngology Physician
  • San Juan, PR
  • NPI 1528890167
  NPD
• Metro Santurce, Inc.

  • General Acute Care Hospital
  • San Juan, PR
  • NPI 1467417865
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Metro Santurce, Inc.

  • General Acute Care Hospital
  • San Juan, PR
  • NPI 1467417865

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1146096000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643328000000",
    "number": "1770540304",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PAVIA FERNANDEZ 655 EDIFICIO CHINEA",
            "address_2": "STE 302",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009092218",
            "telephone_number": "787-726-8201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "EDIF CHINEA 655 CALLE PAVIA",
            "address_2": "STE 302",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009092218",
            "telephone_number": "787-726-8201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CASELLAS CASTILLO",
        "first_name": "NICOLAS",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-04-27",
        "last_updated": "2022-01-28",
        "certification_date": "2022-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "PR",
            "license": "8376",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "038868800",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Roberto Casanova
• Roberto L Casanova, MD
• Rose J Casanova, M.D.
• Camille Nanette Casasnovas, MD
• Marisel Casasnovas, D.M.D.
• Beatriz Casellas, PSYD
• Nicolas Javier Casellas, MD
• Casiano Consulting Services
• Vanessa Virginia Casillas Burgos, SLT
• Gretchen Nicole Casillas Canales, PSY.M.

• All providers in San Juan, PR
• Obstetrics & Gynecology Physician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2022; 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.