Active NPI
Kerlly Paola Castellano Crespo, AA
- Anesthesiologist Assistant
- Washington, DC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiologist Assistant
- License
- AA000114
- Practice address
- 900 23Rd St NW
Washington, DC 20037-2342 - Phone
- (202) 715-4000
- NPI assigned
- Jun 12, 2019
- Last updated
- Apr 8, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiologist Assistant | 367H00000X | AA000114 | DC | Primary |
Addresses
Primary practice location
900 23Rd St NW
Washington, DC 20037-2342
Mailing address
1800 N Lynn St Apt 1615
Arlington, VA 22209-2025
Phone (714) 795-8721
Other names 1
- Kerlly Paola Castellano
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | NA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC, FL, GA
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Anesthesiology Assistant
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1210 S Old Dixie Hwy
Jupiter, FL 33458-7205
Phone (954) 939-5000
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Associate of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AA000114 | DC | MD | Anesthesiologist Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jupiter Anesthesia Associates LLC | Current | Accepting new patients | |
| Grady Memorial Hospital Corporation | Current | Accepting new patients | |
| Grady Memorial Hospital Corporation | Current | Accepting new patients | |
| Medical Faculty Associates, Inc | Current | Accepting new patients | |
| Sheridan Healthcorp, Inc. | Current | Accepting new patients | |
| Sheridan Healthcorp Inc | Current | Accepting new patients | |
| Jupiter Anesthesia Associates LLC | Current | Accepting new patients | |
| Sheridan Healthcorp Inc | Current | Accepting new patients | |
| Jupiter Anesthesia Associates LLC | Current | Accepting new patients | |
| Trihealth H LLC | Past | Accepting new patients |
Locations
2021 K St NW
Ste 408
Washington, DC 20006
Phone (202) 223-1024
900 23rd St NW
Washington, DC 20037
Phone (202) 715-4750
1210 S Old Dixie Hwy
Jupiter, FL 33458
Phone (561) 743-5073
20900 Biscayne Blvd
Miami, FL 33180
Phone (305) 682-7290
401 NW 42nd Ave
Plantation, FL 33317
Phone (954) 513-6434
1613 NW 136th Ave
Ste 200
Sunrise, FL 33323
Phone (954) 838-2502
80 Jesse Hill Jr Dr SE
Atlanta, GA 30303
Phone (404) 616-4370
80 Jesse Hill Jr Dr SE
#26019
Atlanta, GA 30303
Phone (404) 616-2219
Organizations & group practices 10
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Anesthesiology Physician
- Jupiter, FL
- NPI 1700073848
-
- Anesthesiology Physician
- Washington, DC
- NPI 1417990581
-
dba Grady Health System
- Family Medicine Physician
- Atlanta, GA
- NPI 1114243813
-
- Anesthesiology Physician
- Okeechobee, FL
- NPI 1629781711
-
dba Grady Inpatient Rehabilitation Unit
- Rehabilitation Hospital
- Atlanta, GA
- NPI 1336961119
-
- Anesthesiology Physician
- Jupiter, FL
- NPI 1003581398
-
- Anesthesiology Physician
- Jupiter, FL
- NPI 1912266586
-
- Anesthesiology Physician
- Fort Lauderdale, FL
- NPI 1821071960
-
- Anesthesiology Physician
- North Miami Beach, FL
- NPI 1578429460
-
- Obstetrics Physician
- Cincinnati, OH
- NPI 1811215742
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Jupiter, FL
- NPI 1295721090
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1560297600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1586304000000",
"number": "1790344836",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1800 N LYNN ST APT 1615",
"city": "ARLINGTON",
"state": "VA",
"postal_code": "222092025",
"telephone_number": "714-795-8721"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "900 23RD ST NW",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200372342",
"telephone_number": "202-715-4000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CASTELLANO CRESPO",
"first_name": "KERLLY",
"middle_name": "PAOLA",
"credential": "AA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-06-12",
"last_updated": "2020-04-08",
"certification_date": "2020-04-08",
"status": "A"
},
"taxonomies": [
{
"code": "367H00000X",
"taxonomy_group": "",
"desc": "Anesthesiologist Assistant",
"state": "DC",
"license": "AA000114",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "NA",
"affiliation": "N",
"address_1": "900 23rd St NW",
"city": "Washington",
"state": "DC",
"country_code": "US",
"postal_code": "200372342",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "KERLLY",
"last_name": "CASTELLANO",
"middle_name": "PAOLA",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Washington, DC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.