DR. CARLOS CASTANEDA MD
NPI 1053368878
Emergency Medicine in Berwyn, IL
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
Specialties & Licenses
Other Identifiers 10
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
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.
Medicare Billing Reassignments
3Medicare enrollment records show Carlos Castaneda reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Bellaire, TX 77401
- Reassigned Medicare billing, Texas enrollment
- 197 clinicians in this Medicare group
Cedar Park, TX 78613
- Reassigned Medicare billing, Texas enrollment
- 828 clinicians in this Medicare group
Austin, TX 78705
- Reassigned Medicare billing, Texas enrollment
- 1,511 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
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, TXPhysician 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.
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.
BERWYN, IL 60402
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.
Which organizations bill Medicare for Carlos Castaneda's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Carlos Castaneda reassigns Medicare benefits to 3 organizations: Round Table Physicians Group PLLC (Bellaire, TX), Usacs Integrated Acute Care Services Of Texas, PLLC (Cedar Park, TX) and Travis County Emergency Physicians PA (Austin, TX). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Carlos Castaneda's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Carlos Castaneda accept?
Health plans from Ambetter from Superior HealthPlan, Antidote Health of TX, Blue Cross and Blue Shield of Texas, Sendero Health Plans, Local Nonprofit and UnitedHealthcare 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 16 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.
# Dr. Carlos Castaneda, MD · NPI 1053368878
Emergency Medicine physician in Berwyn, Illinois. Individual provider, active in the CMS NPPES registry since May 27, 2006.
## Identity
- **NPI:** 1053368878 (Entity type: Individual)
- **Enumerated:** May 27, 2006
- **Primary specialty:** Emergency Medicine · taxonomy 207P00000X
- **State license:** N3541 (Texas)
- **Sole proprietor:** No
## Practice location
- **Address:** 3249 OAK PARK AVE, Berwyn, IL 60402-3429
- **Phone:** (708) 795-3159
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): Round Table Physicians Group PLLC (NPI 1023439114, Bellaire, TX); Usacs Integrated Acute Care Services Of Texas, PLLC (NPI 1801300322, Cedar Park, TX); Travis County Emergency Physicians PA (NPI 1962440933, Austin, TX) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2003
## Record status
- **NPPES last updated:** November 11, 2010
- **Other identifiers:** Other 1053368878 (TX); Medicare UPIN I68442 (TX); Medicare PIN K35399 (IL); and 7 more
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Source: [NPI Profile](https://npiprofile.com/npi/1053368878) · Data from the CMS NPPES public registry.