Active NPI
Alexander Castiello, MD
- Anatomic Pathology & Clinical Pathology Physician
- Mount Vernon, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anatomic Pathology & Clinical Pathology Physician
- License
- IMLC.MD.61277913
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7100158300 | Medicaid | KY |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
Practice addresses (Care Compare)
803 Poplar St
Murray, KY 42071-2432
Phone (270) 762-1597
Hospital & facility affiliations
- Tristar Greenview Regional Hospital
- Murray-Calloway County Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 192330 | AK | MD | Anatomic Pathology & Clinical Pathology Physician |
| 46633 | KY | MD | Anatomic Pathology & Clinical Pathology Physician |
| IMLC.MD.61277913 | WA | MD | Anatomic Pathology & Clinical Pathology Physician |
| 40440 | TN | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northwest Pathology PLLC | Current | 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.
-
- Multi-Specialty Clinic/Center
- Murray, KY
- NPI 1629202858
KY
-
- Clinical Medical Laboratory
- Mount Vernon, WA
- NPI 1447941174
-
- Pulmonary Disease Physician
- Hermitage, TN
- NPI 1972799807
-
- Anatomic Pathology & Clinical Pathology Physician
- St Petersburg, FL
- NPI 1083639926
Anatomic Pathology & Clinical Pathology
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Murray, KY
- NPI 1073504981
Hospital
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 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.