NPIMap

Individual provider Active NPI

Mary Jane Sunga Castro, MD

  • Family Medicine Physician
  • Nederland, TX
National Provider Identifier
1942301130
Registry record updated Jul 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
N1576 Issued in TX
Practice address
2400 Highway 365
Suite 201
Nederland, TX 77627-6249
Phone
(409) 833-9797
Fax
(409) 654-6810
NPI assigned
Sep 26, 2006
Last updated
Jul 28, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X N1576 TX Primary

Addresses

Primary practice location

2400 Highway 365
Suite 201
Nederland, TX 77627-6249

Mailing address

2929 Calder St
Suite 100
Beaumont, TX 77702-1845
Phone (409) 833-9797

Other identifiers 1

IdentifierTypeStateIssuer
212580903MedicaidTX

Other names 1

  • Mary Jane Castro Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100625000702 TX Practitioner - Family Practice 9234027459 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
RHG of Texas PAGroup PAC ID 6608399829, 32 clinicians

Practice addresses (Care Compare)

3570 College St
Suite 200
Beaumont, TX 77701-4679
Phone (409) 833-9797

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
N1576TXMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
RHG of Texas PA Family Medicine CurrentSince Jan 27, 2025 Accepting new patients
Tyler County Hospital District Past Accepting new patients
Tyler County Hospital District Past Accepting new patients

Locations

2929 Calder St
Ste 100
Beaumont, TX 77702
Phone (409) 401-5864

3570 College St
Ste 200
Beaumont, TX 77701
Phone (409) 839-3118

910 S Main St
Big Spring, TX 79720
Phone (423) 714-4650

1315 St Joseph Pkwy
Ste 1507
Houston, TX 77002
Phone (713) 650-6556

2400 Highway 365
Ste 201
Nederland, TX 77627
Phone (409) 722-6553

7101 Eastridge Rd
Odessa, TX 79765
Phone (432) 550-0048

610 Strickland Dr
Ste 140
Orange, TX 77630
Phone (409) 835-1230

610 Strickland Dr
Ste 170
Orange, TX 77630
Phone (409) 886-8687

2501 Jimmy Johnson Blvd
Ste 501A
Port Arthur, TX 77640
Phone (409) 722-6553

Interoperability endpoints

  • Direct secure messaging: mary.castro.1@19036.direct.athenahealth.com

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 6

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": "1159228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658966400000",
    "number": "1942301130",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2929 CALDER ST",
            "address_2": "SUITE 100",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777021845",
            "telephone_number": "409-833-9797",
            "fax_number": "409-654-6886"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2400 HIGHWAY 365",
            "address_2": "SUITE 201",
            "city": "NEDERLAND",
            "state": "TX",
            "postal_code": "776276249",
            "telephone_number": "409-833-9797",
            "fax_number": "409-654-6810"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CASTRO",
        "first_name": "MARY",
        "middle_name": "JANE SUNGA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-26",
        "last_updated": "2022-07-28",
        "certification_date": "2022-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "N1576",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "212580903",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARY",
            "last_name": "CASTRO",
            "middle_name": "JANE",
            "credential": "MD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Nederland, TX

Sources for this page

Verify at the official NPI Registry.