DR. CARLOS ANTHONY CASILLAS MD
NPI 1093247934
Pediatrics in Cincinnati, OH
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
Specialties & Licenses 3
Secondary Practice Location 1
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 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.
Medicare Billing Reassignments
2Medicare enrollment records show Carlos Casillas reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Cincinnati, OH 45229
- Reassigned Medicare billing, Ohio enrollment
- 2,080 clinicians in this Medicare group
Cincinnati, OH 45219
- Reassigned Medicare billing, Ohio enrollment
- 2,038 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
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 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, OHCincinnati Children's Hospital Medical Center
Childrens · Cincinnati, OHPhysician 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.
Other Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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.
Which organizations bill Medicare for Carlos Casillas's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Carlos Casillas reassigns Medicare benefits to 2 organizations: Children's Hospital Medical Center (Cincinnati, OH) and University Of Cincinnati Physicians Company, LLC (Cincinnati, OH). 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 Casillas's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Carlos Casillas accept?
Health plans from Anthem Blue Cross and Blue Shield, 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.
# Dr. Carlos Anthony Casillas, MD · NPI 1093247934
Pediatrics physician in Cincinnati, Ohio. Individual provider, active in the CMS NPPES registry since March 30, 2017.
## Identity
- **NPI:** 1093247934 (Entity type: Individual)
- **Enumerated:** March 30, 2017
- **Primary specialty:** Pediatrics · taxonomy 208000000X
- **State license:** 35.142290 (Ohio)
- **Sole proprietor:** No
## Practice location
- **Address:** 3333 BURNET AVE, ML 9016, Cincinnati, OH 45229-3026
- **Phone:** (513) 803-8092 · **Fax:** (513) 803-9245
## 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:** 2 organizations under Medicare reassignment (form CMS-855R): Children's Hospital Medical Center (NPI 1609915784, Cincinnati, OH); University Of Cincinnati Physicians Company, LLC (NPI 1801840434, Cincinnati, OH) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2017
## Record status
- **NPPES last updated:** July 8, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1093247934) · Data from the CMS NPPES public registry.