Individual provider Active NPI

Kerlly Paola Castellano Crespo, AA

  • Anesthesiologist Assistant
  • Washington, DC
National Provider Identifier
1790344836
Registry record updated Apr 8, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiologist AssistantTaxonomy code 367H00000X
License
AA000114 Issued in DC
Practice address
900 23Rd St NW
Washington, DC 20037-2342
Phone
(202) 715-4000
NPI assigned
Jun 12, 2019
Last updated
Apr 8, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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 Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL NA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, FL, GA3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20190923003414 DC Practitioner - Anesthesiology Assistant 3577893288 Reassigns benefits to 1 organization
I20210922000115 FL Practitioner - Anesthesiology Assistant 3577893288 Reassigns benefits to 2 organizations
I20240905000167 GA Practitioner - Anesthesiology Assistant 3577893288 Reassigns benefits to 1 organization

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

LicenseStateTypeSpecialty
AA000114DCMDAnesthesiologist Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Jupiter Anesthesia Associates LLC CurrentSince Sep 1, 2023 Accepting new patients
Grady Memorial Hospital Corporation CurrentSince Jul 1, 2024 Accepting new patients
Grady Memorial Hospital Corporation CurrentSince Jul 1, 2024 Accepting new patients
Medical Faculty Associates, Inc CurrentSince Aug 5, 2019 Accepting new patients
Sheridan Healthcorp, Inc. CurrentSince Jul 1, 2021 Accepting new patients
Sheridan Healthcorp Inc Current Accepting new patients
Jupiter Anesthesia Associates LLC Current Accepting new patients
Sheridan Healthcorp Inc CurrentSince Jul 1, 2021 Accepting new patients
Jupiter Anesthesia Associates LLC CurrentSince Sep 1, 2023 Accepting new patients
Trihealth H LLC PastSince Sep 1, 2025 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.

Hospital & facility affiliations 1

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": "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.

Verify at the official NPI Registry.