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DR. CARLOS CASTANEDA MD
NPI 1053368878
Emergency Medicine in Berwyn, IL

Active since May 27, 2006PECOS EnrolledAccepts Medicare Assignment
3249 OAK PARK AVE, BERWYN, IL 60402(708) 795-3159 Get Directions Write a Review

NPPES record last updated: November 11, 2010. Verified against the NPPES registry weekly; last sync: September 06, 2026.

About Dr. Carlos Castaneda Md NPPES

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

DR. CARLOS CASTANEDA MD (NPI 1053368878) is an individual emergency medicine provider in Berwyn, Illinois, licensed in Texas (N3541) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS, is affiliated with Houston Methodist Sugarland Hospital, and is a graduate of Other (2003).

NPPES Registry Identity

NPI1053368878
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameDR. CARLOS CASTANEDACredential: MD
Location Address3249 OAK PARK AVEBerwyn, IL 60402-3429
Mailing Address211 E Ohio St Apt 816Chicago, IL 60611-3225 · (312) 399-8160
Phone(708) 795-3159
Sole ProprietorNo
Medical School CMSOtherGraduated 2003
Enumeration DateMay 27, 2006
Last NPPES UpdateNovember 11, 2010
✔ NPI 1053368878 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
Licenses✔ Licensed in TX · N3541✔ Licensed in IN · 01062180A✔ Licensed in IL · 036115939
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
3249 OAK PARK AVE, Berwyn, IL 60402
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Other Identifiers 10

Other1053368878TX · Tricare South
Medicare UPINI68442TX
Medicare PINK35399IL
Other01062180AIN · Indiana License
Medicaid206743101TX
Medicaid036115939IL
Medicare PINP00800018
Medicare PIN8L20912TX
Other8CD082TX · Bcbstx
Other1053368878TX · Bcbstx

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Baylor Scott and White Health Plan, Blue Cross and Blue Shield of Texas, Molina Healthcare and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Carlos Castaneda Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4385746924
PECOS Enrollment IDI20091104000133
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.

Areas of Expertise CMS Part B claims 5

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
441 services393 patients
Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
299 services292 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
165 services160 patients
Critical care, each additional 30 minutes 99292
Critical care refers to special attention given to patients facing life-threatening conditions. Each additional 30 minutes indicates the extension of this specialized care. This might include close monitoring, medication adjustments, and immediate interventions as needed.
36 services34 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
20 services20 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Houston Methodist Sugarland Hospital

Acute Care Hospitals · Sugar Land, TX
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450820
Location16655 Southwest FreewaySugar Land, TX 77479 · Fort Bend County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60402 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$94.06 typical visit price
range $60.08 – $183.39
Typical copayment $23.51 (range $15.02 – $45.84)
Most-billed visit code 99203
Established Patient
$105.70 typical visit price
range $18.97 – $148.12
Typical copayment $26.42 (range $4.74 – $37.03)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

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

MRS. DANIELLE GENGO R.D.
Dietitian, Registered
3249 OAK PARK AVE
BERWYN, IL 60402
Cook County (708) 783-3077
GOTTLIEB COMMUNITY HEALTH SERVICES CORPORATION
General Practice
3249 OAK PARK AVE
BERWYN, IL 60402
Cook County (708) 783-3125
MARIA RAMIREZ
Family Medicine
3249 OAK PARK AVE
BERWYN, IL 60402
Cook County (708) 783-9100
PATRICIA NAUGHTON MD
Obstetrics & Gynecology
3249 OAK PARK AVE
BERWYN, IL 60402
Cook County (708) 783-3792
PAUL G FAINE M.D.
Emergency Medicine
3249 OAK PARK AVE
BERWYN, IL 60402
Cook County (708) 783-9100
DR. BHARTI RAIZADA M.D,
Anesthesiology
3249 OAK PARK AVE
BERWYN, IL 60402
Cook County (708) 783-6339
SHEENA REDDY KODAVALURU M.D.
Internal Medicine
3249 OAK PARK AVE, MACNEAL HOSPITAL
BERWYN, IL 60402
Cook County (708) 783-9100
DR. ANGELA DIANIRA ALCARRAZ BEDRILLANA MD
Student in an Organized Health Care Education/Training Program
3249 OAK PARK AVE
BERWYN, IL 60402
Cook County (708) 783-6566

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Carlos Castaneda's NPI number?

The NPI number for Carlos Castaneda is 1053368878. It was assigned to this individual provider in the NPPES registry on May 27, 2006.

Where is Carlos Castaneda located?

Carlos Castaneda practices at 3249 Oak Park Ave, Berwyn, IL 60402. The listed phone number is (708) 795-3159.

What is Carlos Castaneda's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Carlos Castaneda enrolled in Medicare?

Yes. Carlos Castaneda is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Carlos Castaneda accept?

Health plans from Baylor Scott and White Health Plan, Blue Cross and Blue Shield of Texas, Molina Healthcare, Oscar Insurance Company and Sendero Health Plans, Local Nonprofit and 1 other insurer list Carlos Castaneda as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Carlos Castaneda affiliated with any hospitals?

According to CMS data, Carlos Castaneda is affiliated with Houston Methodist Sugarland Hospital.

When was this NPI record last updated?

The NPPES record for Carlos Castaneda was last updated on November 11, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.