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DR. LUISA RITA DEL CASTILLO MD, F.A.A.P.
NPI 1376549196
Pediatrics in Red Bank, NJ

Active since June 27, 2005PECOS Enrolled
225 ROUTE 35 STE 102, RED BANK, NJ 07701(732) 530-5515(732) 530-5516 Get Directions Write a Review

NPPES record last updated: September 14, 2020. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Dr. Luisa Rita Del Castillo Md, F.a.a.p. NPPES

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

DR. LUISA RITA DEL CASTILLO MD, F.A.A.P. (NPI 1376549196) is an individual pediatrics provider in Red Bank, New Jersey, licensed in New Jersey (MA053793) and active in the NPI registry since June 2005. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1376549196
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameDR. LUISA RITA DEL CASTILLOCredential: MD, F.A.A.P.
Location Address225 ROUTE 35 STE 102Red Bank, NJ 07701-5919
Mailing Address530 Prospect Ave, Ste 2aLittle Silver, NJ 07739-1444 · (732) 530-5515 · Fax (732) 530-5516
Phone(732) 530-5515
Fax(732) 530-5516
Sole ProprietorNo
Enumeration DateJune 27, 2005
Last NPPES UpdateSeptember 14, 2020
NPPES CertifiedSeptember 14, 2020
✔ NPI 1376549196 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
Licenses✔ Licensed in NJ · MA053793✔ Licensed in NJ · 25MA05379300
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.
225 ROUTE 35 STE 102, Red Bank, NJ 07701
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Other Identifiers 1

Medicaid4015207NJ

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter Health of Delaware, Oscar Health.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Luisa Rita Del Castillo Md, F.a.a.p. 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.

Medicare Billing Reassignment

Medicare enrollment records show Luisa Del Castillo reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Advocare, LLC
55 mi
Pediatrics
401 ROUTE 73 N STE 320
Marlton, NJ 08053
  • Reassigned Medicare billing, New Jersey enrollment
  • 909 clinicians in this Medicare group
NPI 1770538696 (856) 872-7055

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07701 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
$94.90 typical visit price
range $61.59 – $185.05
Typical copayment $23.72 (range $15.39 – $46.26)
Most-billed visit code 99203
Established Patient
$107.94 typical visit price
range $20.08 – $150.98
Typical copayment $26.98 (range $5.02 – $37.74)
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.

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 Luisa Del Castillo's NPI number?

The NPI number for Luisa Del Castillo is 1376549196. It was assigned to this individual provider in the NPPES registry on June 27, 2005.

Where is Luisa Del Castillo located?

Luisa Del Castillo practices at 225 Route 35 Ste 102, Red Bank, NJ 07701. The listed phone number is (732) 530-5515.

What is Luisa Del Castillo's specialty?

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

Is Luisa Del Castillo enrolled in Medicare?

Yes. Luisa Del Castillo is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Luisa Del Castillo's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Luisa Del Castillo reassigns Medicare benefits to Advocare, LLC (Marlton, NJ). The 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 Luisa Del Castillo's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Luisa Del Castillo accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Oscar Health list Luisa Del Castillo 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.

When was this NPI record last updated?

The NPPES record for Luisa Del Castillo was last updated on September 14, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.