Raphael A Castillo, MD

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

232065-1 Issued in NY

Practice address

125 W 79TH St
New York, NY 10024-6454

Phone

(212) 785-1059

Fax

(212) 269-2901

NPI assigned

Oct 18, 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

Medicare fee-for-service enrollment

Enrolled in NY

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

Ophthalmology

Education

Howard University College of Medicine, 1999

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

R Mostafavi MD Ophthamologist PCGroup PAC ID 7911066501, 5 clinicians

Advanced Eye Physician PLLCGroup PAC ID 4981658853, 5 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Networks

• Healthfirst Medicare Network H1722
• Healthfirst Medicare Network H5989
• Healthfirst Medicare Network H9678
• Healthfirst Medicare Network H3359

Interoperability endpoints

• FHIR API: https://app.meldrx.com/api/fhir/imedicware_premiumlaseroph

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.

• Advanced Eye Physician PLLC

  • Ophthalmology Physician
  • New York, NY
  • NPI 1174600316
  Medicare reassignment Care Compare group NPD
• R Mostafavi MD Ophthamologist PC

  • Ophthalmology Physician
  • Staten Island, NY
  • NPI 1851540488
  Medicare reassignment Care Compare group NPD
• Upper West Side Medical P.L.L.C.

  • Ophthalmology Physician
  • New York, NY
  • NPI 1528349933
  Medicare reassignment Authorized official
• City Medical Physician PC

  • Ophthalmology Physician
  • Bronx, NY
  • NPI 1265299044
  Medicare reassignment NPD
• Premium Laser Ophthalmology LLC

  • Ophthalmology Physician
  • New York, NY
  • NPI 1407995863
  Medicare reassignment NPD
• Grand Fashion Optical, Inc

  • Ophthalmology Physician
  • New York, NY
  • NPI 1124269154
  NPD

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

{
    "created_epoch": "1161129600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1444608000000",
    "number": "1770664294",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3234",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100083234",
            "telephone_number": "646-267-2300",
            "fax_number": "212-269-2901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 W 79TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100246454",
            "telephone_number": "212-785-1059",
            "fax_number": "212-269-2901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CASTILLO",
        "first_name": "RAPHAEL",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-18",
        "last_updated": "2015-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NY",
            "license": "232065-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Paloma Castillo
• Paola Nicole Castillo
• Patricia Castillo, MA
• Patricio Gabriel Castillo
• Pura M Castillo, MD
• Steve Castillo
• Thais Melissa Castillo, M.D.
• Vania Castillo, M.D.
• Yajaira Castillo
• Yaquelin Castillo

• Ophthalmology Physician in New York, NY
• Providers in New York, NY by specialty
• Ophthalmology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 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.