Individual provider Active NPI

Adrian Martin Casillas, MD

  • Allergy & Immunology (Internal Medicine) Physician
  • El Paso, TX
National Provider Identifier
1871528125
Registry record updated May 21, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy & Immunology (Internal Medicine) PhysicianTaxonomy code 207RA0201X
License
G63875 Issued in CA
Practice address
11163 La Quinta PL Ste A200
El Paso, TX 79936
Phone
(915) 320-3854
NPI assigned
Jul 12, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 21, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy & Immunology (Internal Medicine) Physician 207RA0201X G63875 CA Primary

Addresses

Primary practice location

11163 La Quinta PL Ste A200
El Paso, TX 79936

Mailing address

11163 La Quinta PL Ste A200
El Paso, TX 79936-5257
Phone (915) 320-3854

Other identifiers 1

IdentifierTypeStateIssuer
3352981-06MedicaidTX

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
I20140324001597 TX Practitioner - Allergy/ImmunologyPractitioner - Internal Medicine 5991887085 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Allergy/ImmunologyAlso: Internal Medicine
Education
University of California, Geffen School of Medicine, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
BHS Physicians Network, IncGroup PAC ID 7315019593, 702 clinicians

Practice addresses (Care Compare)

11450 Gateway N Blvd
El Paso, TX 79934-3456
Phone (915) 205-3440

3270 Joe Battle Blvd
El Paso, TX 79938-2655

3903 Wiseman Blvd
San Antonio, TX 78251-4402
Phone (210) 946-1400

PO Box
Suite 5730
Belfast, ME 04915-5700

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
G63875CAMDAllergy & Immunology (Internal Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Baylor College of Medicine CurrentSince May 17, 2014 Accepting new patients
Baylor College of Medicine CurrentSince May 17, 2014 Accepting new patients
BHS Physicians Network, Inc CurrentSince Feb 1, 2018 Accepting new patients
BHS Physicians Network, Inc CurrentSince Feb 1, 2018 Accepting new patients
BHS Specialty Network Inc Past Accepting new patients
Baylor College of Medicine Past Accepting new patients

Locations

3270 Joe Battle Blvd
Ste 120
El Paso, TX 79938
Phone (915) 351-0699

2000 Transmountain Rd
Ste 120
El Paso, TX 79911
Phone (915) 271-4586

11163 La Quinta Pl
Ste A200
El Paso, TX 79936
Phone (915) 320-3854

1575 N Resler Dr
Ste D
El Paso, TX 79912
Phone (915) 271-4569

125 W Hague Rd
Ste 400
El Paso, TX 79902
Phone (915) 225-2455

4501 N Mesa St
El Paso, TX 79912
Phone (915) 533-5600

7200 Cambridge St
Fl 1
Houston, TX 77030
Phone (713) 798-3924

3903 Wiseman Blvd
San Antonio, TX 78251
Phone (210) 681-0126

3903 Wiseman Blvd
Ste 100
San Antonio, TX 78251
Phone (210) 681-0126

Interoperability endpoints

  • Direct secure messaging: adrian.casillas.1@16794.direct.athenahealth.com
  • Direct secure messaging: adrian.casillas.1@1438.direct.athenahealth.com

Organizations & group practices 6

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 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": "1152662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1526860800000",
    "number": "1871528125",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11163 LA QUINTA PL STE A200",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799365257",
            "telephone_number": "915-320-3854"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11163 LA QUINTA PL STE A200",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "79936",
            "telephone_number": "915-320-3854"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CASILLAS",
        "first_name": "ADRIAN",
        "middle_name": "MARTIN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-12",
        "last_updated": "2018-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RA0201X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Allergy & Immunology",
            "state": "CA",
            "license": "G63875",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3352981-06",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in El Paso, TX

Sources for this page

Verify at the official NPI Registry.