Individual provider Active NPI

Joanne Castillo Rivera, M.D.

  • Family Medicine Physician
  • Lansing, MI
National Provider Identifier
1821319443
Registry record updated Jan 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
4301116555 Issued in MI
Practice address
2722 E Michigan Ave Ste 209
Lansing, MI 48912-4005
Phone
(314) 888-5233
Fax
(203) 590-8644
NPI assigned
Jun 17, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 19, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MT197208 PA
Family Medicine Physician 207Q00000X MD449325 PA
Family Medicine Physician 207Q00000X 4301116555 MI Primary

Addresses

Primary practice location

2722 E Michigan Ave Ste 209
Lansing, MI 48912-4005

Mailing address

711 Silvermine Rd
New Canaan, CT 06840-4329
Phone (314) 888-5233

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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
I20190619003524 MI Practitioner - Family Practice 8325286545 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4301116555MIMDFamily Medicine Physician
MD449325PAMDFamily Medicine Physician
MT197208PAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Capital Internal Medicine Associates P.C. Family Medicine CurrentSince Jun 10, 2019 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients
Chuck R. Colas, D.O., P.C. Family Medicine Past Accepting new patients

Locations

3955 Patient Care Dr
Lansing, MI 48911
Phone (517) 374-7600

3955 Patient Care Dr
Ste A
Lansing, MI 48911
Phone (517) 374-7600

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.

NPI Registry JSON

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

{
    "created_epoch": "1276732800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674086400000",
    "number": "1821319443",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "711 SILVERMINE RD",
            "city": "NEW CANAAN",
            "state": "CT",
            "postal_code": "068404329",
            "telephone_number": "314-888-5233",
            "fax_number": "203-590-8644"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2722 E MICHIGAN AVE STE 209",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "489124005",
            "telephone_number": "314-888-5233",
            "fax_number": "203-590-8644"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CASTILLO RIVERA",
        "first_name": "JOANNE",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-06-17",
        "last_updated": "2023-01-19",
        "certification_date": "2023-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "MT197208",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "MD449325",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "4301116555",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lansing, MI

Sources for this page

Verify at the official NPI Registry.