Active NPI
Marco A Castaneda, MD
- Surgery Physician
- Bridgeton, MO
National Provider Identifier
1912905134
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- R4A34
- Practice address
- 12255 Depaul Drive
#675N
Bridgeton, MO 63044 - Phone
- (314) 576-7213
- Fax
- (314) 576-4755
- NPI assigned
- Jul 12, 2005
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Surgery Physician | 208600000X | R4A34 | MO | Primary |
Addresses
Primary practice location
12255 Depaul Drive
#675N
Bridgeton, MO 63044
Mailing address
12255 Depaul Drive
#675N
Bridgeton, MO 63044
Phone (314) 729-4271
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P00015224 | Other | RAILROAD MEDICARE | |
| 166464 | Other | MO | HEALTHLINK |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| SSM Health Care St. Louis | Past | Accepting new patients |
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.
-
- Cardiovascular Disease Physician
- Bridgeton, MO
- NPI 1376598599
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1121126400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1912905134",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12255 DEPAUL DRIVE",
"address_2": "#675N",
"city": "BRIDGETON",
"state": "MO",
"postal_code": "63044",
"telephone_number": "314-729-4271",
"fax_number": "314-576-4755"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12255 DEPAUL DRIVE",
"address_2": "#675N",
"city": "BRIDGETON",
"state": "MO",
"postal_code": "63044",
"telephone_number": "314-576-7213",
"fax_number": "314-576-4755"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CASTANEDA",
"first_name": "MARCO",
"middle_name": "A",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-07-12",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "MO",
"license": "R4A34",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00015224",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHLINK",
"identifier": "166464",
"state": "MO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Bridgeton, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.