Individual provider Active NPI

Edna C Decastro, M.D.

  • Internal Medicine Physician
  • Chillicothe, MO
National Provider Identifier
1881647170
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
106544 Issued in MO
Practice address
103 11TH St
Ste 14
Chillicothe, MO 64601-1676
Phone
(660) 646-2682
Fax
(660) 646-2688
NPI assigned
May 18, 2006
Last updated
Jul 13, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 106544 MO Primary

Addresses

Primary practice location

103 11TH St
Ste 14
Chillicothe, MO 64601-1676

Mailing address

13528 Liv 230
Chillicothe, MO 64601-6398
Phone (660) 707-0280

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
106544MOMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Saint Lukes Hospital of Chillicothe Past Accepting new patients
The Grand River Health Systems Corp. Internal Medicine Past Accepting new patients
Saint Lukes Hospital of Chillicothe Past Accepting new patients

Organizations & group practices 3

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1147910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1881647170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13528 LIV 230",
            "city": "CHILLICOTHE",
            "state": "MO",
            "postal_code": "646016398",
            "telephone_number": "660-707-0280"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 11TH ST",
            "address_2": "STE 14",
            "city": "CHILLICOTHE",
            "state": "MO",
            "postal_code": "646011676",
            "telephone_number": "660-646-2682",
            "fax_number": "660-646-2688"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DECASTRO",
        "first_name": "EDNA",
        "middle_name": "C",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-18",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MO",
            "license": "106544",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chillicothe, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.