ANGEL CASTRO
NPI 1205686458
Student in an Organized Health Care Education/Training Program in Little Rock, AR

Q: What is Angel Castro's NPI number?

The NPI number for Angel Castro is 1205686458. It was assigned to this individual provider in the NPPES registry on March 22, 2024.

Q: What is Angel Castro's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Q: When was this NPI record last updated?

The NPPES record for Angel Castro was last updated on March 22, 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.

Active since March 22, 2024PECOS Enrolled

4301 W MARKHAM ST # 515, LITTLE ROCK, AR 72205(501) 603-1656 Get Directions Write a Review

NPPES record last updated: March 22, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Angel Castro NPPES

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

ANGEL CASTRO (NPI 1205686458) is an individual student in an organized health care education/training program in Little Rock, Arkansas and active in the NPI registry since March 2024. He is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1205686458

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NameANGEL CASTRO

Location Address4301 W MARKHAM ST # 515Little Rock, AR 72205-7101

Mailing Address3719 W 13th StLittle Rock, AR 72204-3120 · (501) 504-4804

Phone(501) 603-1656

Sole ProprietorYes

Enumeration DateMarch 22, 2024

NPPES CertifiedMarch 22, 2024

✔ NPI 1205686458 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

4301 W MARKHAM ST # 515, Little Rock, AR 72205

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Secondary Practice Locations 2

Location 11 Childrens Way # 203Little Rock, AR 72202-3500 · Phone (501) 364-2180

Location 21125 N College Ave # Slot100Fayetteville, AR 72703-1908 · Phone (479) 713-8310

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Angel Castro 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.

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.

DR. BAILOR L HARDMAN M.D.

Anesthesiology