Individual provider Active NPI

Luis Carlos Castillo, M.D.

  • Family Medicine Physician
  • Palm Springs, FL
National Provider Identifier
1821233966
Registry record updated Jan 3, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
ME108476 Issued in FL
Practice address
3713 S Congress Ave
Palm Springs, FL 33461-3753
Phone
(561) 649-4342
Fax
(561) 246-4859
NPI assigned
Dec 3, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 3, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X ME108476 FL Primary

Addresses

Primary practice location

3713 S Congress Ave
Palm Springs, FL 33461-3753

Mailing address

3713 S Congress Ave
Palm Springs, FL 33461-3753
Phone (561) 649-4342

Other names 1

  • Luis Carlos Castillo Former name

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
I20120917000474 FL Practitioner - Family Practice 7113175183 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
CTMD Medical Center PAGroup PAC ID 3072842400, 2 clinicians
Castillo Andtorres MD PAGroup PAC ID 0446477285, 7 clinicians

Practice addresses (Care Compare)

2328 S Congress Ave
Suite 1 H
Palm Springs, FL 33406-7618
Phone (561) 324-7224

2328 S Congress Ave
Suite 1E
Palm Springs, FL 33406-7671
Phone (561) 324-7224

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10
Removal of skin lesions1-10
Removal or shaving of skin growth1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Castillo & Torres MD PA Family Medicine CurrentSince Jun 6, 2014 Accepting new patients
CTMD Medical Center PA Family Medicine CurrentSince Jul 14, 2019 Accepting new patients
Tobe L. Rubin, M.D., P.a. PastSince Aug 2, 2010 Accepting new patients

Locations

1307 Lyons Rd
Coconut Creek, FL 33063
Phone (561) 324-7224

3046 S Congress Ave
Palm Springs, FL 33461
Phone (561) 324-7224

2328 S Congress Ave
Ste 1H
Palm Springs, FL 33406
Phone (561) 324-7224

2328 S Congress Ave
Ste 1E
West Palm Beach, FL 33406
Phone (561) 324-7224

Interoperability endpoints

  • Direct secure messaging: lcastillo@castillotorresmdpa.gwaydirect.com
  • Direct secure messaging: luis.castillo@ctmdpa.directbygreenway.com
  • FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.140.73339

Organizations & group practices 3

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 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": "1228262400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1388707200000",
    "number": "1821233966",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3713 S CONGRESS AVE",
            "city": "PALM SPRINGS",
            "state": "FL",
            "postal_code": "334613753",
            "telephone_number": "561-649-4342",
            "fax_number": "561-246-4859"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3713 S CONGRESS AVE",
            "city": "PALM SPRINGS",
            "state": "FL",
            "postal_code": "334613753",
            "telephone_number": "561-649-4342",
            "fax_number": "561-246-4859"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CASTILLO",
        "first_name": "LUIS",
        "middle_name": "CARLOS",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-12-03",
        "last_updated": "2014-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME108476",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LUIS",
            "last_name": "CASTILLO",
            "middle_name": "CARLOS",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Palm Springs, FL

Sources for this page

Verify at the official NPI Registry.