FERNANDO RAUL DOMINGO DE CASTRO MD
NPI 1184617979
Internal Medicine in Phoenix, AZ

Active since August 26, 2005PECOS Enrolled
4150 N 108TH AVE, STE 142, PHOENIX, AZ 85037(623) 322-1145(623) 466-9552 Get Directions Write a Review

NPPES record last updated: March 8, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Fernando Raul Domingo De Castro Md NPPES

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

FERNANDO RAUL DOMINGO DE CASTRO MD (NPI 1184617979) is an individual internal medicine provider in Phoenix, Arizona, licensed in Arizona (30062) and active in the NPI registry since August 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1184617979
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameFERNANDO RAUL DOMINGO DE CASTROCredential: MD
Location Address4150 N 108TH AVE, STE 142Phoenix, AZ 85037-5467
Mailing Address9524 W Camelback Rd Pmb 186, Ste 130Glendale, AZ 85305-0901 · (623) 322-1145 · Fax (623) 466-9552
Fax(623) 466-9552
Sole ProprietorNo
Enumeration DateAugust 26, 2005
Last NPPES UpdateMarch 8, 2011
NPI 1184617979 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in AZ · 30062
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
4150 N 108TH AVE, Phoenix, AZ 85037

Other Identifiers 5

Medicare UPING63348
Medicaid64873504AZ
Medicare PINZ130006AZ
Medicare PIN111744AZ
Medicare PIN111745AZ

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Fernando Raul Domingo De Castro Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month 99490
Chronic care management services involve a healthcare professional directing clinical staff in managing your chronic conditions. This includes the first 20 minutes per month of services like medication management, care coordination, and health monitoring to help improve your health and quality of life.
99 services54 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85037 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
$127.71 typical visit price
range $55.44 – $168.60
Typical copayment $31.92 (range $13.86 – $42.15)
Most-billed visit code 99204
Established Patient
$98.00 typical visit price
range $17.72 – $137.41
Typical copayment $24.50 (range $4.43 – $34.35)
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.

Referred Medical Equipment & Supplies CMS DME claims 7

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
10 suppliers31 claims74 services$5.98 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
8 suppliers19 claims32 services$1.06 avg. paid by Medicare
Parenteral nutrition solution, not otherwise specified, 10 grams lipids B4185
Other-Enteral and Parenteral · category OB005N
2 suppliers52 claims1,358 services$11.26 avg. paid by Medicare
Parenteral nutrition solution; compounded amino acid and carbohydrates with electrolytes, trace elements, and vitamins, including preparation, any strength, 52 to 73 grams of protein - premix B4193
Other-Enteral and Parenteral · category OB005N
2 suppliers52 claims357 services$230.37 avg. paid by Medicare
Parenteral nutrition supply kit; premix, per day B4220
Other-Enteral and Parenteral · category OB005N
2 suppliers51 claims350 services$8.03 avg. paid by Medicare
Parenteral nutrition administration kit, per day B4224
Other-Enteral and Parenteral · category OB005N
2 suppliers51 claims350 services$24.79 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 3

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

Internal Medicine
4150 N 108TH AVE, STE 142
PHOENIX, AZ 85037
Physician Assistant (Medical)
4150 N 108TH AVE, STE 142
PHOENIX, AZ 85037
Home Health
4150 N 108TH AVE, STE 138
PHOENIX, AZ 85037

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 Fernando Raul De Castro's NPI number?

The NPI number for Fernando Raul De Castro is 1184617979. It was assigned to this individual provider in the NPPES registry on August 26, 2005.

Where is Fernando Raul De Castro located?

Fernando Raul De Castro practices at 4150 N 108th Ave Ste 142, Phoenix, AZ 85037. The listed phone number is (623) 322-1145.

What is Fernando Raul De Castro's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Fernando Raul De Castro enrolled in Medicare?

Yes. Fernando Raul De Castro is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Fernando Raul De Castro was last updated on March 8, 2011. 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.