Jordan Castle

Primary specialty

Vascular & Interventional Radiology PhysicianTaxonomy code 2085R0204X

License

4301109069 Issued in MI

Practice address

3264 N Evergreen Dr NE
Grand Rapids, MI 49525-9746

Phone

(616) 363-7339

NPI assigned

Jun 15, 2011

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in MT, WA2 enrollments

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 2

Specialty

Interventional Radiology

Education

Wayne State University School of Medicine, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

The Polyclinic PLLCGroup PAC ID 2163328196, 364 clinicians

Inland Imaging Associates PSGroup PAC ID 7810327210, 124 clinicians

Integra Imaging PSGroup PAC ID 1355593062, 126 clinicians

Inland Imaging LLCGroup PAC ID 6608763016, 128 clinicians

Spokane Urology PLLCGroup PAC ID 5991603367, 24 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Prov Sacred HRT Med Ctr & Childs Hosp. Hospital, Spokane, WA, CCN 500054
• St. Patrick Hospital Hospital, Missoula, MT, CCN 270014
• Providence Holy Family Hospital Hospital, Spokane, WA, CCN 500077
• Kadlec Regional Medical Center Hospital, Richland, WA, CCN 500058
• Providence St Mary Medical Center Hospital, Walla Walla, WA, CCN 500002

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• Inland Imaging Associates PS

  • Diagnostic Radiology Physician
  • Seattle, WA
  • NPI 1982236469

  MT

  Medicare reassignment Care Compare group NPD
• Inland Imaging LLC

  • Diagnostic Radiology Physician
  • Spokane, WA
  • NPI 1851352348

  MT

  Medicare reassignment Care Compare group NPD
• Integra Imaging, PS

  • Diagnostic Radiology Physician
  • Spokane, WA
  • NPI 1205189461

  MT

  Medicare reassignment Care Compare group NPD
• Spokane Urology PLLC

  • Urology Physician
  • Spokane, WA
  • NPI 1912015439

  Vascular & Interventional Radiology

  Medicare reassignment Care Compare group NPD
• The Polyclinic PLLC

  • Audiologist
  • Seattle, WA
  • NPI 1174594634
  Medicare reassignment Care Compare group NPD
• Columbia County Hospital District

  • Critical Access Hospital
  • Dayton, WA
  • NPI 1134128911
  Medicare reassignment NPD
• Grant County Public Hospital District 2

  • Emergency Medical Services (Emergency Medicine) Physician
  • Quincy, WA
  • NPI 1659445468
  Medicare reassignment NPD
• Moses Lake Community Health Center

  • Federally Qualified Health Center (FQHC)
  • Moses Lake, WA
  • NPI 1699862813
  Medicare reassignment NPD
• Okanogan Douglas County Hospital Dist 1

  • Critical Access Hospital
  • Brewster, WA
  • NPI 1205942257
  Medicare reassignment
• Okanogan Douglas County Hospital Dist 1

  • Critical Access Hospital
  • Brewster, WA
  • NPI 1356305395
  Medicare reassignment
• Columbia County Hospital District

  • Rural Health Clinic/Center
  • Dayton, WA
  • NPI 1518044551
  NPD
• Columbia County Hospital District

  • Primary Care Clinic/Center
  • College Place, WA
  • NPI 1851050264
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Kadlec Regional Medical Center

  • General Acute Care Hospital
  • Richland, WA
  • NPI 1972507580
  Care Compare affiliation
• Providence Health & Services - Wa

  • General Acute Care Hospital
  • Spokane, WA
  • NPI 1144471715
  Care Compare affiliation
• Providence Health & Services - Washington

  • General Acute Care Hospital
  • Spokane, WA
  • NPI 1225289895
  Care Compare affiliation
• Providence Health & Services - Washington

  • General Acute Care Hospital
  • Walla Walla, WA
  • NPI 1386895886
  Care Compare affiliation
• Providence Health & Services Mt

  • General Acute Care Hospital
  • Missoula, MT
  • NPI 1023032588
  Care Compare affiliation
• Providence Health & Services Mt

  • Medical Oncology Physician
  • Missoula, MT
  • NPI 1326483587

  Hospital

  Care Compare affiliation
• Providence Health & Services Mt

  • Anatomic Pathology & Clinical Pathology Physician
  • Missoula, MT
  • NPI 1366185928

  Hospital

  Care Compare affiliation
• Providence Health & Services Mt

  • Psychiatric Hospital Unit
  • Missoula, MT
  • NPI 1619058302
  Care Compare affiliation

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

{
    "created_epoch": "1308096000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1891080156",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3264 N EVERGREEN DR NE",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495259746",
            "telephone_number": "616-363-7339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3264 N EVERGREEN DR NE",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495259746",
            "telephone_number": "616-363-7339"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CASTLE",
        "first_name": "JORDAN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-06-15",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "MI",
            "license": "4301109069",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alcario Castillo
• Carleene Michelle Castillo
• Jessica Lynn Castillo, RDH
• Yadira Castillo
• Elisha Castle, M.A., LLPC
• Melissa Castle
• Aleyiah Chantelle Castro
• Ashley Castro, LMSW
• Genesis Ruby Castro
• Zhanttal Castro, PSYD

• Vascular & Interventional Radiology Physician in Grand Rapids, MI
• Providers in Grand Rapids, MI by specialty
• Vascular & Interventional Radiology Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.