Active NPI
Toni Nicastro, DO
- Pediatrics Physician
- Mesa, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 011629
- Practice address
- 1705 W Main St
Mesa, AZ 85201-6920 - Phone
- (480) 964-2273
- NPI assigned
- Apr 3, 2021
- Reactivated
- Jun 3, 2022
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 5151015562 | MI | |
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Pediatrics Physician | 208000000X | 011629 | AZ | Primary |
Addresses
Primary practice location
1705 W Main St
Mesa, AZ 85201-6920
Mailing address
3033 N Central Ave Ste 145
Phoenix, AZ 85012-2808
Phone (623) 583-3001
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Adelante Healthcare Inc | Current | Accepting new patients | |
| Adelante Healthcare, Inc. | Multi-Specialty | Current | Accepting new patients |
| Adelante Healthcare, Inc | Multi-Specialty | Current | Accepting new patients |
| Adelante Healthcare, Inc. | Multi-Specialty | Past | Accepting new patients |
Locations
306 E Monroe Ave
Buckeye, AZ 85326
Phone (623) 386-4814
13471 W Cornerstone Blvd
Goodyear, AZ 85395
1705 W Main St
Mesa, AZ 85201
Phone (480) 845-6769
15525 N 83rd Ave
Ste 104
Peoria, AZ 85382
3033 N Central Ave
Ste 145
Phoenix, AZ 85012
9610 N Metro Pkwy W
Phoenix, AZ 85051
Phone (602) 710-7487
500 W Thomas Rd
Ste 870
Phoenix, AZ 85013
Phone (602) 263-0222
3130 E Roosevelt St
Bldg C
Phoenix, AZ 85008
Phone (480) 904-7787
15317 W Bell Rd
Ste 100
Surprise, AZ 85374
15351 W Bell Rd
Surprise, AZ 85374
811 N Tegner St
Ste 113
Wickenburg, AZ 85390
Interoperability endpoints
- tnicastro1059436@direct.hfhs.org
Organizations & group practices 4
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.
-
- Federally Qualified Health Center (FQHC)
- Wickenburg, AZ
- NPI 1083772545
Multi-Specialty
-
- Federally Qualified Health Center (FQHC)
- Surprise, AZ
- NPI 1407132673
-
- Federally Qualified Health Center (FQHC)
- Phoenix, AZ
- NPI 1215734124
Multi-Specialty
-
- Federally Qualified Health Center (FQHC)
- Surprise, AZ
- NPI 1205994761
Multi-Specialty
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1617408000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1753142400000",
"number": "1831778331",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3033 N CENTRAL AVE STE 145",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850122808",
"telephone_number": "623-583-3001"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1705 W MAIN ST",
"city": "MESA",
"state": "AZ",
"postal_code": "852016920",
"telephone_number": "480-964-2273"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NICASTRO",
"first_name": "TONI",
"name_prefix": "Dr.",
"credential": "DO",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-04-03",
"last_updated": "2025-07-22",
"certification_date": "2025-07-22",
"deactivation_date": "2022-05-05",
"reactivation_date": "2022-06-03",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "MI",
"license": "5151015562",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Pediatrics",
"state": "AZ",
"license": "011629",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mesa, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2025; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.