KATIA SUSTAYTA CASTRO
NPI 1053242198
Counselor - Professional in Milwaukee, WI

Q: What is Katia Sustayta Castro's NPI number?

The NPI number for Katia Sustayta Castro is 1053242198. It was assigned to this individual provider in the NPPES registry on May 27, 2026.

Q: What is Katia Sustayta Castro's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Active since May 27, 2026PECOS Enrolled

1032 S 16TH ST, MILWAUKEE, WI 53204(414) 672-1353 Get Directions Write a Review

NPPES record last updated: August 25, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Aug 25, 2026, May 27, 2026 (2 updates tracked since 2026).

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About Katia Sustayta Castro NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KATIA SUSTAYTA CASTRO (NPI 1053242198) is an individual professional provider in Milwaukee, Wisconsin, licensed in Wisconsin (9138-226) and active in the NPI registry since May 2026. She is enrolled in Medicare PECOS, maintains 4 additional practice locations, and is a graduate of Other (2026).

NPPES Registry Identity

NPI1053242198

Entity TypeIndividualFemale

Primary Taxonomy101YP2500X

Provider Legal NameKATIA SUSTAYTA CASTRO

Location Address1032 S 16TH STMilwaukee, WI 53204-2203

Mailing Address1032 S Cesar E Chavez DrMilwaukee, WI 53204-2203 · (414) 672-1353 · Fax (262) 408-5094

Phone(414) 672-1353

Sole ProprietorNo

Medical School CMSOtherGraduated 2026

Enumeration DateMay 27, 2026

Last NPPES UpdateAugust 25, 20262 updates tracked since enumeration

NPPES CertifiedAugust 25, 2026

✔ NPI 1053242198 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers

Taxonomy Code101YP2500X

License✔ Licensed in WI · 9138-226

1032 S 16TH ST, Milwaukee, WI 53204

Open in Google Maps ↗

Secondary Practice Locations 4

Location 11635 W National AveMilwaukee, WI 53204-1130 · Phone (414) 672-1353 · Fax (262) 408-5094

Location 2309 E North StWaukesha, WI 53188-3718 · Phone (414) 672-1353 · Fax (262) 408-5094

Location 32906 S 20th StMilwaukee, WI 53215-3732 · Phone (414) 672-1353 · Fax (262) 408-5094

Location 44570 S 27th StMilwaukee, WI 53221-2145 · Phone (414) 672-1353 · Fax (262) 408-5094

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Katia Sustayta Castro is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID2365902731

PECOS Enrollment IDI20260904000071

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Katia Sustayta Castro reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Sixteenth Street Community Health Centers, Inc.

1.4 mi

Federally Qualified Health Center (FQHC)

1635 W NATIONAL AVE
Milwaukee, WI 53204

Reassigned Medicare billing, Wisconsin enrollment
Medicare enrollment name: 16th Street Community Health Center Inc.
147 clinicians in this Medicare group

NPI 1316587439 (414) 672-1353

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 14

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

HOLLY C DAVIS NP

Nurse Practitioner