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DR. CARLOS ANTHONY CASILLAS MD
NPI 1093247934
Pediatrics in Cincinnati, OH

Active since March 30, 2017PECOS EnrolledAccepts Medicare Assignment
3333 BURNET AVE, ML 9016, CINCINNATI, OH 45229(513) 803-8092(513) 803-9245 Get Directions Write a Review

NPPES record last updated: July 8, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 8, 2024, May 2, 2024, May 24, 2021 and 2 more (5 updates tracked since 2017).

About Dr. Carlos Anthony Casillas Md NPPES

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

DR. CARLOS ANTHONY CASILLAS MD (NPI 1093247934) is an individual pediatrics provider in Cincinnati, Ohio, licensed in Ohio (35.142290) and active in the NPI registry since March 2017. He is enrolled in Medicare PECOS, is affiliated with University Of Cincinnati Medical Center, Llc, and maintains a secondary practice location in Cincinnati.

NPPES Registry Identity

NPI1093247934
Entity TypeIndividualMale
Primary Taxonomy208000000X
Provider Legal NameDR. CARLOS ANTHONY CASILLASCredential: MD
Location Address3333 BURNET AVE, ML 9016Cincinnati, OH 45229-3026
Mailing Address3333 Burnet Ave., Ml 9016Cincinnati, OH 45229 · (513) 803-8092 · Fax (513) 803-9245
Phone(513) 803-8092
Fax(513) 803-9245
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateMarch 30, 2017
Last NPPES UpdateJuly 8, 20245 updates tracked since enumeration
NPPES CertifiedJuly 8, 2024
✔ NPI 1093247934 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in OH · 35.142290
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Also ListedInternal MedicineTaxonomy 207R00000X · License 35.142290 (OH)
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
3333 BURNET AVE, ML 9016, Cincinnati, OH 45229
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Secondary Practice Location 1

Location 13188 Bellevue AveCincinnati, OH 45219-2369 · Phone (513) 584-1000 · Fax (513) 475-7480

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource, MedMutual, Oscar Health Insurance.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 Anthony Casillas 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 ID1850660820
PECOS Enrollment IDI20210601002476
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

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
28 services11 patients

Hospital Affiliations CMS Care Compare 2

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

University Of Cincinnati Medical Center, LLC

Acute Care Hospitals · Cincinnati, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360003
Location3188 Bellevue AvenueCincinnati, OH 45219 · Hamilton County
Emergency services Birthing friendly
OwnershipVoluntary non-profit - Private
CMS Certification Number363300
Location3333 Burnet AvenueCincinnati, OH 45229 · Hamilton County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45229 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
$84.72 typical visit price
range $54.34 – $166.65
Typical copayment $21.18 (range $13.58 – $41.66)
Most-billed visit code 99203
Established Patient
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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

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

DR. LEKHA GRANDHI O'SULLIVAN MD
Pediatrics
3333 BURNET AVE, ML 9016
CINCINNATI, OH 45229
Hamilton County (513) 803-8092

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 Casillas's NPI number?

The NPI number for Carlos Casillas is 1093247934. It was assigned to this individual provider in the NPPES registry on March 30, 2017.

Where is Carlos Casillas located?

Carlos Casillas practices at 3333 Burnet Ave, Ml 9016, Cincinnati, OH 45229. The listed phone number is (513) 803-8092.

What is Carlos Casillas's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Carlos Casillas enrolled in Medicare?

Yes. Carlos Casillas 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 Casillas accept?

Health plans from CareSource, MedMutual and Oscar Health Insurance list Carlos Casillas 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 Casillas affiliated with any hospitals?

According to CMS data, Carlos Casillas is affiliated with University Of Cincinnati Medical Center, LLC and Cincinnati Children's Hospital Medical Center.

When was this NPI record last updated?

The NPPES record for Carlos Casillas was last updated on July 8, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.