Individual provider Active NPI

Alexander Castiello, MD

  • Anatomic Pathology & Clinical Pathology Physician
  • Mount Vernon, WA
National Provider Identifier
1780628313
Registry record updated Jun 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X
License
IMLC.MD.61277913 Issued in WA
Practice address
111 S 12TH St Ste D
Mount Vernon, WA 98274-4000
Phone
(360) 734-2800
Fax
(360) 734-3818
NPI assigned
Jun 15, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 14, 2022

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X 192330 AK
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X 46633 KY
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X MD40440 TN
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X IMLC.MD.61277913 WA Primary

Addresses

Primary practice location

111 S 12TH St Ste D
Mount Vernon, WA 98274-4000

Mailing address

3560 Meridian St Ste 101
Bellingham, WA 98225-1731
Phone (360) 527-4507

Other practice location 1

3614 Meridian St Ste 100
Bellingham, WA 98225-1748
Phone (360) 734-2800

Other practice location 2

3548 Meridian St Ste 101
Bellingham, WA 98225-1710
Phone (360) 734-2800

Other identifiers 1

IdentifierTypeStateIssuer
7100158300MedicaidKY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
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

Enrollment IDStateProvider typePAC IDDetails
I20150831002178 KY Practitioner - Pathology 7517137409 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pathology
Education
University of South Florida College of Medicine, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Murray-Calloway County Public Hospital CorporationGroup PAC ID 0840103297, 89 clinicians

Practice addresses (Care Compare)

803 Poplar St
Murray, KY 42071-2432
Phone (270) 762-1597

Hospital & facility affiliations

  • Tristar Greenview Regional Hospital Hospital, Bowling Green, KY, CCN 180124
  • Murray-Calloway County Hospital Hospital, Murray, KY, CCN 180027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
192330AKMDAnatomic Pathology & Clinical Pathology Physician
46633KYMDAnatomic Pathology & Clinical Pathology Physician
IMLC.MD.61277913WAMDAnatomic Pathology & Clinical Pathology Physician
40440TNMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Northwest Pathology PLLC CurrentSince May 21, 2023 Accepting new patients
Laboratory Physicians PA Anatomic Pathology & Clinical Pathology Past Accepting new patients
Cumberland Lung Specialists Past Accepting new patients

Locations

3560 Meridian St
Ste 101
Bellingham, WA 98225
Phone (360) 543-6844

111 S 12th St
Ste D
Mount Vernon, WA 98274
Phone (360) 734-2800

Organizations & group practices 4

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.

Hospital & facility affiliations 2

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

NPI Registry JSON

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

{
    "created_epoch": "1150329600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655164800000",
    "number": "1780628313",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3560 MERIDIAN ST STE 101",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982251731",
            "telephone_number": "360-527-4507",
            "fax_number": "360-527-9965"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 S 12TH ST STE D",
            "city": "MOUNT VERNON",
            "state": "WA",
            "postal_code": "982744000",
            "telephone_number": "360-734-2800",
            "fax_number": "360-734-3818"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3614 Meridian St Ste 100",
            "address_purpose": "LOCATION",
            "city": "Bellingham",
            "state": "WA",
            "postal_code": "982251748",
            "country_code": "US",
            "telephone_number": "360-734-2800",
            "fax_number": "360-734-3818",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3548 Meridian St Ste 101",
            "address_purpose": "LOCATION",
            "city": "Bellingham",
            "state": "WA",
            "postal_code": "982251710",
            "country_code": "US",
            "telephone_number": "360-734-2800",
            "fax_number": "360-734-3818",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CASTIELLO",
        "first_name": "ALEXANDER",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-15",
        "last_updated": "2022-06-14",
        "certification_date": "2022-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "AK",
            "license": "192330",
            "primary": false
        },
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "KY",
            "license": "46633",
            "primary": false
        },
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "TN",
            "license": "MD40440",
            "primary": false
        },
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "WA",
            "license": "IMLC.MD.61277913",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100158300",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Vernon, WA

Sources for this page

Verify at the official NPI Registry.