Thomas J Castellano, MD

Primary specialty

Gastroenterology PhysicianTaxonomy code 207RG0100X

License

MD024935E Issued in PA

Practice address

490 Northampton St
Gateway Suite 1
Edwardsville, PA 18704-4551

Phone

(570) 288-8100

Fax

(570) 288-7987

NPI assigned

May 3, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Practitioners 1

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

• Glenn S Freed, DO

  • Gastroenterology Physician
  • Pottsville, PA
  • NPI 1407841067
  Medicare reassignment

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.

• Digestive Care Associates PC

  • Gastroenterology Physician
  • Edwardsville, PA
  • NPI 1083094460
  Medicare reassignment NPD

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

{
    "created_epoch": "1146614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1405468800000",
    "number": "1992763460",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "490 NORTHAMPTON ST",
            "address_2": "GATEWAY SUITE 1",
            "city": "EDWARDSVILLE",
            "state": "PA",
            "postal_code": "187044551",
            "telephone_number": "570-288-8100",
            "fax_number": "570-288-7987"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "490 NORTHAMPTON ST",
            "address_2": "GATEWAY SUITE 1",
            "city": "EDWARDSVILLE",
            "state": "PA",
            "postal_code": "187044551",
            "telephone_number": "570-288-8100",
            "fax_number": "570-288-7987"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CASTELLANO",
        "first_name": "THOMAS",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-03",
        "last_updated": "2014-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "PA",
            "license": "MD024935E",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• 549 Corporation
• Active Pain Management, PC
• Aman Ali, MD
• Albert J Antonello, D.C.
• Childrens Behavioral Health Services, Inc.
• Childrens Behavioral Health Services, Inc.
• Kristen Leigh Clare, OTR
• Clem-Mar House, Inc.
• Clem-Mar House, Inc.

• Gastroenterology Physician in Edwardsville, PA
• Providers in Edwardsville, PA by specialty
• Gastroenterology Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.