Active NPI
Gabriel Castilleja, NP
- Family Nurse Practitioner
- Laredo, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- AP130878
- Practice address
- 201 W Hillside Rd Ste 17
Laredo, TX 78041-3197 - Phone
- (956) 394-2502
- Fax
- (956) 290-8059
- NPI assigned
- Apr 27, 2016
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | AP130878 | TX | Primary |
Addresses
Primary practice location
201 W Hillside Rd Ste 17
Laredo, TX 78041-3197
Mailing address
PO Box 451044
Laredo, TX 78045-0025
Phone (956) 394-2502
Other practice location 1
1710 E Saunders St Fl B5
Laredo, TX 78041-5443
Phone (956) 726-0033
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240206001590 | TX | Practitioner - Nurse Practitioner | 1254774359 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Castilleja Adult Clinic PLLC
Practice addresses (Care Compare)
201 W Hillside Rd
Suite 17
Laredo, TX 78041-3197
Phone (956) 394-2502
Hospital & facility affiliations
- Laredo Medical Center
- Doctors Hospital of Laredo
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Castilleja Adult Clinic PLLC | Single Specialty | Current | Accepting new patients |
Locations
201 W Hillside Rd
Ste 17
Laredo, TX 78041
Phone (956) 394-2502
Organizations & group practices 1
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.
-
- Family Nurse Practitioner
- Laredo, TX
- NPI 1376305441
Single Specialty, TX
Hospital & facility affiliations 2
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": "1461715200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1712275200000",
"number": "1831544808",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 451044",
"city": "LAREDO",
"state": "TX",
"postal_code": "780450025",
"telephone_number": "956-394-2502",
"fax_number": "956-290-8059"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "201 W HILLSIDE RD STE 17",
"city": "LAREDO",
"state": "TX",
"postal_code": "780413197",
"telephone_number": "956-394-2502",
"fax_number": "956-290-8059"
}
],
"practiceLocations": [
{
"address_1": "1710 E Saunders St Fl B5",
"address_purpose": "LOCATION",
"city": "Laredo",
"state": "TX",
"postal_code": "780415443",
"country_code": "US",
"telephone_number": "956-726-0033",
"fax_number": "956-727-5201",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CASTILLEJA",
"first_name": "GABRIEL",
"credential": "NP",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2016-04-27",
"last_updated": "2024-04-05",
"certification_date": "2024-01-25",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner, Family",
"state": "TX",
"license": "AP130878",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Laredo, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.