Individual provider Active NPI

Ricardo Castillon, M.D.

  • Obstetrics Physician
  • Laredo, TX
National Provider Identifier
1881656429
Registry record updated Oct 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics PhysicianTaxonomy code 207VX0000X
License
K9748 Issued in TX
Practice address
1710 E. Saunders
Suite A200
Laredo, TX 78041-2213
Phone
(956) 753-7600
Fax
(956) 753-7800
NPI assigned
Apr 6, 2006
Last updated
Oct 4, 2022By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 4, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X K9748 TX
Obstetrics Physician 207VX0000X K9748 TX Primary

Addresses

Primary practice location

1710 E. Saunders
Suite A200
Laredo, TX 78041-2213

Mailing address

1710 E. Saunders
Suite A200
Laredo, TX 78041-2213
Phone (956) 753-7600

Other identifiers 2

IdentifierTypeStateIssuer
0392755-01MedicaidTX
8A2268OtherTXBLUE CROSS BLUE SHIELD

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
I20110413000578 TX Practitioner - Obstetrics/Gynecology 0446269989 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
University of Texas Medical Branch at Galveston, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Obhg Texas Holdings PAGroup PAC ID 3577713072, 176 clinicians

Practice addresses (Care Compare)

555 Creekside Xing
New Braunfels, TX 78130-2594
Phone (864) 908-3530

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Obhg Texas Holdings, P.a. Single Specialty CurrentSince Sep 1, 2022 Accepting new patients
Gateway Community Health Center, Inc Single Specialty CurrentSince Dec 12, 2019 Accepting new patients
Gateway Community Health Center, Inc CurrentSince Dec 12, 2019 Accepting new patients
Christus Spohn Health System Corporation Past Accepting new patients

Locations

5950 Saratoga Blvd
Corpus Christi, TX 78414
Phone (321) 917-9263

1515 Pappas St
Laredo, TX 78041
Phone (956) 523-3642

555 Creekside Xing
New Braunfels, TX 78130
Phone (830) 387-4660

Interoperability endpoints

  • Direct secure messaging: ricardo.castillon.1@20213.direct.athenahealth.com

Organizations & group practices 5

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": "1144281600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664841600000",
    "number": "1881656429",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1710 E. SAUNDERS",
            "address_2": "SUITE A200",
            "city": "LAREDO",
            "state": "TX",
            "postal_code": "780412213",
            "telephone_number": "956-753-7600",
            "fax_number": "956-753-7800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1710 E. SAUNDERS",
            "address_2": "SUITE A200",
            "city": "LAREDO",
            "state": "TX",
            "postal_code": "780412213",
            "telephone_number": "956-753-7600",
            "fax_number": "956-753-7800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CASTILLON",
        "first_name": "RICARDO",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-04-06",
        "last_updated": "2022-10-04",
        "certification_date": "2022-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "TX",
            "license": "K9748",
            "primary": false
        },
        {
            "code": "207VX0000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Obstetrics",
            "state": "TX",
            "license": "K9748",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0392755-01",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "8A2268",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Laredo, TX

Sources for this page

Verify at the official NPI Registry.