Active NPI
Jennifer Elizabeth Castillo, MD
- Internal Medicine Physician
- Ann Arbor, MI
National Provider Identifier
1902995863
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 4301079987
- Practice address
- 24 Frank Lloyd Wright Dr Ste L2200
Ann Arbor, MI 48105 - Phone
- (734) 930-4020
- Fax
- (734) 769-8948
- NPI assigned
- Oct 11, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 4301079987 | MI | Primary |
Addresses
Primary practice location
24 Frank Lloyd Wright Dr Ste L2200
Ann Arbor, MI 48105
Mailing address
24 Frank Lloyd Wright Dr Ste L2200
Ann Arbor, MI 48105-9484
Phone (734) 930-4020
Other practice location 1
700 East Woodland Dr
Saline, MI 48176-1620
Phone (734) 429-2302
Other practice location 2
700 East Woodland Dr
Saline, MI 48176-1620
Phone (734) 429-2302
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4753520 | Medicaid | MI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- University of Pittsburgh School of Medicine, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
24 Frank Lloyd Wright Dr
Ann Arbor, MI 48105-9484
Phone (734) 930-4020
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4301079987 | MI | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Emmaus Health Partners | Internal Medicine | Current | Accepting new patients |
Locations
24 Frank Lloyd Wright Dr
Ann Arbor, MI 48105
Phone (734) 930-7400
Interoperability endpoints
- jennifer.castillo.1@11144.direct.athenahealth.com
- jennifer.castillo.2@11144.direct.athenahealth.com
- https://api.platform.athenahealth.com/11144/brand/1/csg/1/fhir/r4
- jcastillo817311@direct.hfhs.org
Organizations & group practices 1
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.
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Ann Arbor, MI
- NPI 1003878539
-
- General Acute Care Hospital
- Brighton, MI
- NPI 1093748642
-
- General Acute Care Hospital
- Chelsea, MI
- NPI 1992761985
-
- General Acute Care Hospital
- Ypsilanti, MI
- NPI 1780658443
-
- General Acute Care Hospital
- Livonia, MI
- NPI 1790706901
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160524800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1556668800000",
"number": "1902995863",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "24 FRANK LLOYD WRIGHT DR STE L2200",
"city": "ANN ARBOR",
"state": "MI",
"postal_code": "481059484",
"telephone_number": "734-930-4020",
"fax_number": "734-769-8948"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "24 FRANK LLOYD WRIGHT DR STE L2200",
"city": "ANN ARBOR",
"state": "MI",
"postal_code": "48105",
"telephone_number": "734-930-4020",
"fax_number": "734-769-8948"
}
],
"practiceLocations": [
{
"address_1": "700 East Woodland Dr",
"address_purpose": "LOCATION",
"city": "Saline",
"state": "MI",
"postal_code": "481761620",
"country_code": "US",
"telephone_number": "734-429-2302",
"fax_number": "734-429-1879",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "700 East Woodland Dr",
"address_purpose": "LOCATION",
"city": "Saline",
"state": "MI",
"postal_code": "481761620",
"country_code": "US",
"telephone_number": "734-429-2302",
"fax_number": "734-429-1879",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CASTILLO",
"first_name": "JENNIFER",
"middle_name": "ELIZABETH",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-11",
"last_updated": "2019-05-01",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MI",
"license": "4301079987",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "4753520",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Ann Arbor, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2019; 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.