Individual provider Active NPI

Gabriel Castilleja, NP

  • Family Nurse Practitioner
  • Laredo, TX
National Provider Identifier
1831544808
Registry record updated Apr 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP130878 Issued in TX
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

Updated by the provider on Apr 5, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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 PLLCGroup PAC ID 0345683447, 2 clinicians

Practice addresses (Care Compare)

201 W Hillside Rd
Suite 17
Laredo, TX 78041-3197
Phone (956) 394-2502

Hospital & facility affiliations

  • Laredo Medical Center Hospital, Laredo, TX, CCN 450029
  • Doctors Hospital of Laredo Hospital, Laredo, TX, CCN 450643

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Castilleja Adult Clinic PLLC Single Specialty CurrentSince Jan 25, 2024 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.

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

Verify at the official NPI Registry.