Individual provider Active NPI

Claudia Yolanda Castro, M.D.

  • Anatomic Pathology Physician
  • Sebastian, FL
National Provider Identifier
1891866208
Registry record updated Aug 20, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anatomic Pathology PhysicianTaxonomy code 207ZP0101X
License
ME98716 Issued in FL
Practice address
13695 US Highway 1
Sebastian, FL 32958-3230
Phone
(772) 589-3186
Fax
(855) 671-4753
NPI assigned
Nov 10, 2006
Last updated
Aug 20, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Anatomic Pathology Physician 207ZP0101X K8053 TX
Anatomic Pathology Physician 207ZP0101X ME98716 FL Primary

Addresses

Primary practice location

13695 US Highway 1
Sebastian, FL 32958-3230

Mailing address

PO Box 144333
Orlando, FL 32814-4333
Phone (407) 422-9831

Other identifiers 2

IdentifierTypeStateIssuer
278990600MedicaidFL
038304402MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20070830000062 FL Practitioner - Pathology 1658464136 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pathology
Education
Other, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Nextgen PathologyGroup PAC ID 0345617403, 10 clinicians

Practice addresses (Care Compare)

13695 US Hwy 1
Sebastian, FL 32958-3230
Phone (772) 589-3186

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
K8053TXMDAnatomic Pathology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Nextgen Pathology CurrentSince Apr 15, 2024 Accepting new patients
Nextgen Pathology CurrentSince Apr 15, 2024 Accepting new patients

Locations

701 W Cocoa Beach Cswy
Cocoa Beach, FL 32931
Phone (321) 799-7111

1350 Hickory St
Melbourne, FL 32901
Phone (321) 434-1771

250 N Wickham Rd
Melbourne, FL 32935
Phone (321) 637-2600

8700 W Flagler St
Ste 100
Miami, FL 33174
Phone (305) 267-7979

1425 Malabar Rd NE
Palm Bay, FL 32907
Phone (321) 434-8000

110 Longwood Ave
Rockledge, FL 32955
Phone (321) 452-9799

13695 US Highway 1
Sebastian, FL 32958
Phone (772) 589-3185

8745 N Wickham Rd
Viera, FL 32940
Phone (321) 434-7191

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

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.

Hospital & facility affiliations 3

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": "1163116800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1566259200000",
    "number": "1891866208",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 144333",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328144333",
            "telephone_number": "407-422-9831",
            "fax_number": "407-648-2065"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13695 US HIGHWAY 1",
            "city": "SEBASTIAN",
            "state": "FL",
            "postal_code": "329583230",
            "telephone_number": "772-589-3186",
            "fax_number": "855-671-4753"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CASTRO",
        "first_name": "CLAUDIA",
        "middle_name": "YOLANDA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-10",
        "last_updated": "2019-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0101X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology",
            "state": "TX",
            "license": "K8053",
            "primary": false
        },
        {
            "code": "207ZP0101X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology",
            "state": "FL",
            "license": "ME98716",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "278990600",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "038304402",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sebastian, FL

Sources for this page

Verify at the official NPI Registry.