Organization Active NPI

Castle Hills Medical Group

  • Internal Medicine Physician
  • Carrollton, TX
National Provider Identifier
1922612977
Registry record updated Sep 6, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
CASTLE HILLS MEDICAL GROUP
Practice address
4343 N Josey LN
Carrollton, TX 75010-4603
Phone
(310) 403-9595
NPI assigned
Sep 6, 2020
Organization subpart
Yes
Parent organization
SANA HEALTHCARE CARROLLTONAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 6, 2020

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

Authorized official

Name
Radha Savitala
Title
Cief Legal Officer
Phone
(310) 403-9595

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

4343 N Josey LN
Carrollton, TX 75010-4603

Mailing address

4343 N Josey LN
Carrollton, TX 75010-4603
Phone (310) 403-9595

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210802000511 TX Part B Supplier - Clinic/Group Practice 0345644159 Receives reassigned benefits from 5 practitioners
Practice locations: Carrollton, TX

National Provider Directory

National Provider Directory
Part of
Sana Healthcare Carrollton

Locations

4343 N Josey Ln
Ste 100
Carrollton, TX 75010

4333 N Josey Ln
Ste Ii
Carrollton, TX 75010

4333 N Josey Ln
Ste 207
Carrollton, TX 75010
Phone (972) 394-2971

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1599350400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1599350400000",
    "number": "1922612977",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4343 N JOSEY LN",
            "city": "CARROLLTON",
            "state": "TX",
            "postal_code": "750104603",
            "telephone_number": "310-403-9595"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4343 N JOSEY LN",
            "city": "CARROLLTON",
            "state": "TX",
            "postal_code": "750104603",
            "telephone_number": "310-403-9595"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CASTLE HILLS MEDICAL GROUP",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SANA HEALTHCARE CARROLLTON",
        "enumeration_date": "2020-09-06",
        "last_updated": "2020-09-06",
        "certification_date": "2020-09-06",
        "status": "A",
        "authorized_official_last_name": "SAVITALA",
        "authorized_official_first_name": "RADHA",
        "authorized_official_title_or_position": "CIEF LEGAL OFFICER",
        "authorized_official_telephone_number": "310-403-9595"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carrollton, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.