Organization Active NPI

Ernest Castro MD PLLC

  • Primary Care Clinic/Center
  • Arvada, CO
National Provider Identifier
1801551296
Registry record updated Dec 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
ERNEST CASTRO MD PLLC
Practice address
6870 W 52ND Ave Ste 212
Arvada, CO 80002-3953
Phone
(720) 868-3111
Fax
(303) 220-4941
NPI assigned
Nov 1, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 13, 2021

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

Authorized official

Name
Dr. Ernest Ross Castro, MDNPI 1982785721
Title
Physician/Owner
Phone
(720) 868-3111

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X Primary

Addresses

Primary practice location

6870 W 52ND Ave Ste 212
Arvada, CO 80002-3953

Mailing address

6870 W 52ND Ave Ste 212
Arvada, CO 80002-3953
Phone (720) 299-9734

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20211216002449 CO Part B Supplier - Clinic/Group Practice 4688065196 Receives reassigned benefits from 1 practitioner
Practice locations: Arvada, CO

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
06D2245633Ernest Castro MD PLLC6870 W 52ND Ave, Ste 212, Arvada, CO 80002Certificate of waiverDec 14, 2027

National Provider Directory

National Provider Directory

Locations

1153 Bergen Pkwy
Ste I211
Evergreen, CO 80439

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1635724800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1639353600000",
    "number": "1801551296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6870 W 52ND AVE STE 212",
            "city": "ARVADA",
            "state": "CO",
            "postal_code": "800023953",
            "telephone_number": "720-299-9734"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6870 W 52ND AVE STE 212",
            "city": "ARVADA",
            "state": "CO",
            "postal_code": "800023953",
            "telephone_number": "720-868-3111",
            "fax_number": "303-220-4941"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ERNEST CASTRO MD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-01",
        "last_updated": "2021-12-13",
        "certification_date": "2021-12-13",
        "status": "A",
        "authorized_official_last_name": "CASTRO",
        "authorized_official_first_name": "ERNEST",
        "authorized_official_middle_name": "ROSS",
        "authorized_official_title_or_position": "PHYSICIAN/OWNER",
        "authorized_official_telephone_number": "720-868-3111",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arvada, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2021; 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.