Individual provider Active NPI

Castel Alaniz Santana, M.D.

  • Family Medicine Physician
  • Edmond, OK
National Provider Identifier
1962728477
Registry record updated Jan 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
30855 Issued in OK
Practice address
401 S Coltrane Rd Ste 280
Edmond, OK 73034-6722
Phone
(405) 906-3892
Fax
(405) 212-4907
NPI assigned
Apr 9, 2010
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 9, 2024

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 30855 OK Primary

Addresses

Primary practice location

401 S Coltrane Rd Ste 280
Edmond, OK 73034-6722

Mailing address

401 S Coltrane Rd Ste 280
Edmond, OK 73034-6722
Phone (405) 906-3892

Other identifiers 6

IdentifierTypeStateIssuer
1407812365OtherORGROUP NPI NORTH BEND MEDICAL CENTER
161133OtherORGROUP MEDICAID NORTH BEND MEDICAL CENTER
MD161990OtherORMEDICAL LICENSE
930635514OtherORGROUP TAX FOR BILLING NORTH BEND MEDICAL CENTER
R0000WFBTVOtherORGROUP MEDICARE NORTH BEND MEDICAL CENTER
500658801MedicaidOR

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK
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
I20140808002213 OK Practitioner - Family Practice 7719128552 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Medexpress Urgent Care, PC - Oklahoma CurrentSince Jan 16, 2017 Accepting new patients
Dr. Cas Consulting PLLC Family Medicine CurrentSince Apr 4, 2022 Accepting new patients
Medexpress Urgent Care, PC - Oklahoma CurrentSince Jan 16, 2017 Accepting new patients
Summit Medical Center Past Accepting new patients

Locations

401 S Coltrane Rd
Ste 280
Edmond, OK 73034
Phone (405) 906-2610

3428 NW Cache Rd
Lawton, OK 73505
Phone (580) 595-7207

2140 S Yale Ave
Tulsa, OK 74114
Phone (918) 712-9342

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1270771200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704758400000",
    "number": "1962728477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 S COLTRANE RD STE 280",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730346722",
            "telephone_number": "405-906-3892",
            "fax_number": "405-212-4907"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 S COLTRANE RD STE 280",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730346722",
            "telephone_number": "405-906-3892",
            "fax_number": "405-212-4907"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANTANA",
        "first_name": "CASTEL",
        "middle_name": "ALANIZ",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-04-09",
        "last_updated": "2024-01-09",
        "certification_date": "2024-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OK",
            "license": "30855",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP NPI NORTH BEND MEDICAL CENTER",
            "identifier": "1407812365",
            "state": "OR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP MEDICAID NORTH BEND MEDICAL CENTER",
            "identifier": "161133",
            "state": "OR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "MD161990",
            "state": "OR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP TAX FOR BILLING NORTH BEND MEDICAL CENTER",
            "identifier": "930635514",
            "state": "OR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP MEDICARE NORTH BEND MEDICAL CENTER",
            "identifier": "R0000WFBTV",
            "state": "OR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "500658801",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Edmond, OK

Sources for this page

Verify at the official NPI Registry.