Individual provider Active NPI

Marcela C Castillo, MD

  • Obstetrics & Gynecology Physician
  • Waco, TX
National Provider Identifier
1841516192
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
R3484 Issued in TX
Practice address
120 Hillcrest Medical Blvd Ste 300
Waco, TX 76712-8951
Phone
(254) 313-6500
Fax
(254) 313-6599
NPI assigned
Apr 12, 2010
Last updated
Jul 21, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X R3484 TX Primary

Addresses

Primary practice location

120 Hillcrest Medical Blvd Ste 300
Waco, TX 76712-8951

Mailing address

1600 Providence Dr
Waco, TX 76707-2261
Phone (254) 313-4200

Other practice location 1

911 W 38th St Ste 202
Austin, TX 78705-1107
Phone (512) 324-8670

Other practice location 2

1600 Providence Dr
Waco, TX 76707-2261
Phone (254) 313-4200

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20171002002848 TX Practitioner - Obstetrics/Gynecology 3375761315 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
University of Texas Southwestern Medical School at Dallas, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

120 Hillcrest Medical Blvd
Suite 300
Waco, TX 76712-8951
Phone (254) 313-6500

1600 Providence Dr
Waco, TX 76707-2261
Phone (254) 313-4200

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R3484TXMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University of Texas at Austin Dell Medical School Current Accepting new patients
Heart of Texas Community Health Center, Inc CurrentSince Aug 1, 2021 Accepting new patients
Heart of Texas Community Health Center Inc Current Accepting new patients
McLennan County Medical Education and Research Foundation Current Accepting new patients
University of Texas at Austin Dell Medical School CurrentSince Feb 18, 2019 Accepting new patients
University of Texas at Austin CurrentSince Feb 18, 2019 Accepting new patients
Heart of Texas Community Health Center, Inc. CurrentSince Aug 1, 2021 Accepting new patients
Hillcrest Baptist Medical Center Past Accepting new patients

Locations

1601 Trinity St
Austin, TX 78712
Phone (833) 882-2737

120 Hillcrest Medical Blvd
Ste 300
Waco, TX 76712
Phone (254) 313-6500

1600 Providence Dr
Waco, TX 76707
Phone (254) 313-4200

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "1271030400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1841516192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 PROVIDENCE DR",
            "city": "WACO",
            "state": "TX",
            "postal_code": "767072261",
            "telephone_number": "254-313-4200",
            "fax_number": "254-313-4549"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 HILLCREST MEDICAL BLVD STE 300",
            "city": "WACO",
            "state": "TX",
            "postal_code": "767128951",
            "telephone_number": "254-313-6500",
            "fax_number": "254-313-6599"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "911 W 38th St Ste 202",
            "address_purpose": "LOCATION",
            "city": "Austin",
            "state": "TX",
            "postal_code": "787051107",
            "country_code": "US",
            "telephone_number": "512-324-8670",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1600 Providence Dr",
            "address_purpose": "LOCATION",
            "city": "Waco",
            "state": "TX",
            "postal_code": "767072261",
            "country_code": "US",
            "telephone_number": "254-313-4200",
            "fax_number": "254-313-4549",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CASTILLO",
        "first_name": "MARCELA",
        "middle_name": "C",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-04-12",
        "last_updated": "2022-07-21",
        "certification_date": "2021-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "TX",
            "license": "R3484",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waco, TX

Sources for this page

Verify at the official NPI Registry.