Individual provider Active NPI

Wendy Izarnotegui Castillo, MD

  • Cardiovascular Disease Physician
  • Orlando, FL
National Provider Identifier
1790099265
Registry record updated Aug 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
ME130299 Issued in FL
Practice address
1222 S Orange Ave FL 4
Orlando, FL 32806-1215
Phone
(321) 841-6444
Fax
(321) 843-4712
NPI assigned
Jul 27, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Cardiology Physician 207RI0011X ME130299 FL
Cardiovascular Disease Physician 207RC0000X ME130299 FL Primary

Addresses

Primary practice location

1222 S Orange Ave FL 4
Orlando, FL 32806-1215

Mailing address

1222 S Orange Ave FL 4
Orlando, FL 32806-1215
Phone (321) 841-6444

Other practice location 1

4715 S Florida Ave Ste 200
Lakeland, FL 33813
Phone (863) 209-7004

Other practice location 2

711 W Main St
Leesburg, FL 34748-5128
Phone (352) 326-1731

Other practice location 3

711 W Main St
Leesburg, FL 34748-5128
Phone (352) 326-1731

Other identifiers 1

IdentifierTypeStateIssuer
119208500MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20170906001040 FL Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Interventional Cardiology 3375770563 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Interventional Cardiology
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Orlando Health Medical Group IncGroup PAC ID 9537059084, 2,171 clinicians

Practice addresses (Care Compare)

1222 S Orange Ave
FL 4
Orlando, FL 32806-1215
Phone (321) 841-6444

Hospital & facility affiliations

  • Orlando Health Hospital, Orlando, FL, CCN 100006
  • Orlando Health South Lake Hospital Hospital, Clermont, FL, CCN 100051
  • Adventhealth Orlando Hospital, Orlando, FL, CCN 100007
  • Orlando Health St Cloud Hospital Hospital, Saint Cloud, FL, CCN 100302
  • Orlando Health-Health Central Hospital Hospital, Ocoee, FL, CCN 100030

Merit-based Incentive Payment System (MIPS)

Final score
79.91 of 100Reported as group
Quality
61.18
Promoting interoperability
100
Improvement activities
40
Cost
71.86

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Orlando Health Medical Group Inc CurrentSince Aug 16, 2023 Accepting new patients
Dedicated Senior Medical Center of Florida, LLC CurrentSince Sep 10, 2018 Accepting new patients
Orlando Health Medical Group Inc Cardiovascular Disease CurrentSince Aug 16, 2023 Accepting new patients
Dedicated Senior Medical Center of Florida, LLC CurrentSince Sep 10, 2018 Accepting new patients

Locations

206 N Florida Ave
Lakeland, FL 33801
Phone (863) 209-7003

4715 S Florida Ave
Ste 200
Lakeland, FL 33813
Phone (863) 209-7004

4715 S Florida Ave
Lakeland, FL 33813
Phone (863) 209-7003

1395 NW 167th St
Miami Gardens, FL 33169
Phone (305) 831-4760

32 W Gore St
Orlando, FL 32806
Phone (321) 841-3820

1222 S Orange Ave
Fl 4
Orlando, FL 32806
Phone (321) 841-7700

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

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 7

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": "1280188800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692144000000",
    "number": "1790099265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1222 S ORANGE AVE FL 4",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328061215",
            "telephone_number": "321-841-6444",
            "fax_number": "321-843-4712"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1222 S ORANGE AVE FL 4",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328061215",
            "telephone_number": "321-841-6444",
            "fax_number": "321-843-4712"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4715 S Florida Ave Ste 200",
            "address_purpose": "LOCATION",
            "city": "Lakeland",
            "state": "FL",
            "postal_code": "33813",
            "country_code": "US",
            "telephone_number": "863-209-7004",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "711 W Main St",
            "address_purpose": "LOCATION",
            "city": "Leesburg",
            "state": "FL",
            "postal_code": "347485128",
            "country_code": "US",
            "telephone_number": "352-326-1731",
            "fax_number": "352-728-2498",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "711 W Main St",
            "address_purpose": "LOCATION",
            "city": "Leesburg",
            "state": "FL",
            "postal_code": "347485128",
            "country_code": "US",
            "telephone_number": "352-326-1731",
            "fax_number": "352-728-2498",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "IZARNOTEGUI CASTILLO",
        "first_name": "WENDY",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-07-27",
        "last_updated": "2023-08-16",
        "certification_date": "2023-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "FL",
            "license": "ME130299",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "FL",
            "license": "ME130299",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "119208500",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

Verify at the official NPI Registry.