Individual provider Active NPI

Jesse Almonte Castillano, M.D.

  • General Practice Physician
  • Shelby Township, MI
National Provider Identifier
1982867420
Registry record updated Feb 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
4301100455 Issued in MI
Practice address
54626 Morningside Dr
Shelby Township, MI 48316-6001
Phone
(904) 252-3930
NPI assigned
Jul 4, 2008
Last updated
Feb 1, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 1, 2025

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Neuroradiology Physician 2085N0700X ME169172 FL
Neuroradiology Physician 2085N0700X BP10034816 TX
Vascular & Interventional Radiology Physician 2085R0204X 002928 GA
Vascular & Interventional Radiology Physician 2085R0204X 4301100455 MI
General Practice Physician 208D00000X 4301100455 MI Primary

Addresses

Primary practice location

54626 Morningside Dr
Shelby Township, MI 48316-6001

Mailing address

54626 Morningside Dr
Shelby Township, MI 48316-6001
Phone (904) 252-3930

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI, FL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20170804000428 MI Practitioner - Geriatric Medicine 6901177286 Reassigns benefits to 3 organizations
Practice locations: Troy, MI
I20240909000584 FL Practitioner - Diagnostic Radiology 6901177286 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Geriatric Medicine
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Metro Medical Center PLLCGroup PAC ID 3870971815, 4 clinicians

Practice addresses (Care Compare)

11828 Joseph Campau St
Hamtramck, MI 48212-3049
Phone (586) 276-7436

15255 Max Leggett Pkwy
Jacksonville, FL 32218-7213
Phone (904) 383-1000

54626 Morningside Dr
Shelby Township, MI 48316-6001
Phone 81423171006764

653 W 8TH St
Jacksonville, FL 32209-6511
Phone (904) 244-1680

655 W 8TH St
Jacksonville, FL 32209-6511
Phone (940) 244-4218

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
59.59 of 100Reported as apm
Quality
59.93
Promoting interoperability
0
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
BP10034816TXMDNeuroradiology Physician
002928GAMDPediatric Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
VHS Physicians of Michigan Multi-Specialty CurrentSince Feb 4, 2025 Accepting new patients
Metro Medical Center PLLC Multi-Specialty CurrentSince May 1, 2022 Accepting new patients
University of Florida Jacksonville Physicians, Inc. Multi-Specialty Current Accepting new patients
University of Florida Jacksonville Physicians Inc Multi-Specialty CurrentSince Aug 15, 2024 Accepting new patients
Mount Nittany Medical Center Health Services Inc Multi-Specialty CurrentSince Feb 13, 2026 Accepting new patients
University of Florida Jacksonville Physicians, Inc. CurrentSince Aug 15, 2024 Accepting new patients
Care Management Solutions LLC Multi-Specialty PastSince Apr 1, 2019 Accepting new patients

Locations

655 W 8th St
Jacksonville, FL 32209
Phone (904) 244-1680

655 W 8th St
Fl 2
Jacksonville, FL 32209
Phone (904) 244-4202

3901 Beaubien St
Detroit, MI 48201
Phone (313) 745-5227

3990 John R St
Detroit, MI 48201
Phone (313) 745-6211

11828 Joseph Campau St
Hamtramck, MI 48212
Phone (313) 707-0122

Interoperability endpoints

  • Direct secure messaging: jcastillano736982@direct.shands.ufl.edu

Organizations & group practices 8

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 5

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": "1215129600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738368000000",
    "number": "1982867420",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "54626 MORNINGSIDE DR",
            "city": "SHELBY TOWNSHIP",
            "state": "MI",
            "postal_code": "483166001",
            "telephone_number": "904-252-3930"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "54626 MORNINGSIDE DR",
            "city": "SHELBY TOWNSHIP",
            "state": "MI",
            "postal_code": "483166001",
            "telephone_number": "904-252-3930"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CASTILLANO",
        "first_name": "JESSE",
        "middle_name": "ALMONTE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-07-04",
        "last_updated": "2025-02-01",
        "certification_date": "2025-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085N0700X",
            "taxonomy_group": "",
            "desc": "Radiology, Neuroradiology",
            "state": "FL",
            "license": "ME169172",
            "primary": false
        },
        {
            "code": "2085N0700X",
            "taxonomy_group": "",
            "desc": "Radiology, Neuroradiology",
            "state": "TX",
            "license": "BP10034816",
            "primary": false
        },
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "GA",
            "license": "002928",
            "primary": false
        },
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "MI",
            "license": "4301100455",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "MI",
            "license": "4301100455",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shelby Township, MI

Sources for this page

Verify at the official NPI Registry.