Individual provider Active NPI

Clare A Castiglia, DO

  • Internal Medicine Physician
  • Albuquerque, NM
National Provider Identifier
1992730675
Registry record updated May 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A88389 Issued in NM
Practice address
4010 Montgomery Blvd NE
Albuquerque, NM 87109
Phone
(505) 888-8500
Fax
(505) 888-8503
NPI assigned
Jul 11, 2006
Last updated
May 23, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 23, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X A88389 NM Primary

Addresses

Primary practice location

4010 Montgomery Blvd NE
Albuquerque, NM 87109

Mailing address

PO Box 26028
Albuquerque, NM 87125-6028

Other practice location 1

3901 Carlisle Blvd NE
Albuquerque, NM 87107-4503
Phone (505) 888-8500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM
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
I20040128000982 NM Practitioner - Internal Medicine 3375446230 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A88389NMMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Optumcare New Mexico LLC CurrentSince Jun 1, 2006 Accepting new patients
Optumcare Endoscopy Center New Mexico, LLC Past Accepting new patients

Locations

3901 Carlisle Blvd NE
Albuquerque, NM 87107
Phone (505) 888-8500

4010 Montgomery Blvd NE
Albuquerque, NM 87109
Phone (505) 254-6100

500 Walter St NE
Ste 301
Albuquerque, NM 87102
Phone (505) 727-2850

5041 Indian School Rd NE
Ste 400
Albuquerque, NM 87110
Phone (505) 255-3110

5150 Journal Center Blvd NE
Fl 3
Albuquerque, NM 87109
Phone (505) 262-3212

601 Martin Luther King Ave NE
Albuquerque, NM 87102
Phone (505) 727-8040

8080 Academy Rd NE
Albuquerque, NM 87111
Phone (505) 727-3400

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1152576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716422400000",
    "number": "1992730675",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 26028",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871256028"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4010 MONTGOMERY BLVD NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "87109",
            "telephone_number": "505-888-8500",
            "fax_number": "505-888-8503"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3901 Carlisle Blvd NE",
            "address_purpose": "LOCATION",
            "city": "Albuquerque",
            "state": "NM",
            "postal_code": "871074503",
            "country_code": "US",
            "telephone_number": "505-888-8500",
            "fax_number": "505-888-8503",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CASTIGLIA",
        "first_name": "CLARE",
        "middle_name": "A",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-11",
        "last_updated": "2024-05-23",
        "certification_date": "2024-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NM",
            "license": "A88389",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Albuquerque, NM

Sources for this page

Verify at the official NPI Registry.