Individual provider Active NPI

Kathleen Serafica Castillo, MD

  • Nephrology Physician
  • Bowling Green, KY
National Provider Identifier
1891374617
Registry record updated Aug 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
61484 Issued in KY
Practice address
720 E 2ND Ave Ste 203
Bowling Green, KY 42101-1778
Phone
(270) 843-5114
Fax
(270) 745-1230
NPI assigned
Apr 7, 2021
Last updated
Aug 3, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 3, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 35.153478 OH
Nephrology Physician 207RN0300X 35.153478 OH
Nephrology Physician 207RN0300X 61484 KY Primary

Addresses

Primary practice location

720 E 2ND Ave Ste 203
Bowling Green, KY 42101-1778

Mailing address

720 E 2ND Ave Ste 203
Bowling Green, KY 42101-1778
Phone (270) 843-5114

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
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
I20260327002650 KY Practitioner - Nephrology 6800296740 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nephrology
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Southern Kentucky Nephrology Associates PSCGroup PAC ID 4183654643, 7 clinicians

Practice addresses (Care Compare)

720 2ND Ave
Suite 203
Bowling Green, KY 42101-1778
Phone (270) 843-5114

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
61484KYMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Southern Kentucky Nephrology Associates PSC Nephrology CurrentSince May 12, 2026 Accepting new patients
Jay Tomes Davis, MD, Obstetrics & Gynecology PSC PastSince May 12, 2026 Accepting new patients

Locations

720 2nd Ave
Ste 203
Bowling Green, KY 42101
Phone (270) 843-5114

Organizations & group practices 2

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 2

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": "1617753600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785715200000",
    "number": "1891374617",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "720 E 2ND AVE STE 203",
            "city": "BOWLING GREEN",
            "state": "KY",
            "postal_code": "421011778",
            "telephone_number": "270-843-5114",
            "fax_number": "270-745-1230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "720 E 2ND AVE STE 203",
            "city": "BOWLING GREEN",
            "state": "KY",
            "postal_code": "421011778",
            "telephone_number": "270-843-5114",
            "fax_number": "270-745-1230"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CASTILLO",
        "first_name": "KATHLEEN",
        "middle_name": "SERAFICA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-04-07",
        "last_updated": "2026-08-03",
        "certification_date": "2026-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "35.153478",
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "OH",
            "license": "35.153478",
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "KY",
            "license": "61484",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bowling Green, KY

Sources for this page

Verify at the official NPI Registry.