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MICHAEL CASTILLO MD
NPI 1407389844
Internal Medicine - Gastroenterology in Atlanta, GA

Active since April 04, 2017PECOS EnrolledAccepts Medicare Assignment
90.38/100
CMS Quality Rating
980 JOHNSON FERRY RD STE 820, ATLANTA, GA 30342(404) 252-9307(404) 252-5839 Get Directions Write a Review

NPPES record last updated: February 27, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Feb 27, 2025, May 3, 2023, Apr 12, 2023 (3 updates tracked since 2023).

About Michael Castillo Md NPPES

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

MICHAEL CASTILLO MD (NPI 1407389844) is an individual gastroenterology provider in Atlanta, Georgia, licensed in Georgia (103068) and active in the NPI registry since April 2017. He is enrolled in Medicare PECOS, is affiliated with Northside Hospital, and maintains a secondary practice location in Brooklyn.

NPPES Registry Identity

NPI1407389844
Entity TypeIndividualMale
Primary Taxonomy207RG0100X
Provider Legal NameMICHAEL CASTILLOCredential: MD
Location Address980 JOHNSON FERRY RD STE 820Atlanta, GA 30342-1608
Mailing Address980 Johnson Ferry Rd Ste 820Atlanta, GA 30342-1608 · (404) 252-9307 · Fax (404) 252-5839
Phone(404) 252-9307
Fax(404) 252-5839
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateApril 4, 2017
Last NPPES UpdateFebruary 27, 20253 updates tracked since enumeration
NPPES CertifiedFebruary 27, 2025
✔ NPI 1407389844 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
Licenses✔ Licensed in GA · 103068✔ Licensed in NY · 322391
Definition

An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.

980 JOHNSON FERRY RD STE 820, Atlanta, GA 30342
Open in Google Maps ↗

Secondary Practice Location 1

Location 1515 6th StBrooklyn, NY 11215-3608 · Phone (718) 246-8600

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter Health, Ambetter of Alabama and more.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

Michael Castillo 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 ID8123388592
PECOS Enrollment IDI20250516002658
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 11

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 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
83 services49 patients
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.
60 services42 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
52 services52 patients
Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239
This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.
41 services41 patients
Removal of polyps or growths of large bowel using an endoscope with mechanical snare 45385
This procedure involves using a thin, flexible tube called an endoscope to examine the large bowel. If any abnormal growths or polyps are found, a tool called a mechanical snare is used to remove them. This is a common method to prevent potential health issues.
39 services39 patients
Biopsy of large bowel using a flexible endoscope 45380
A biopsy of the large bowel using a flexible endoscope is a procedure where a thin, flexible tube with a camera is inserted through the rectum to examine the bowel. If abnormal tissue is found, a small sample is taken for further examination. This helps in diagnosing conditions like inflammation, polyps, or cancer.
37 services37 patients

Hospital Affiliations CMS Care Compare

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

Northside Hospital

Acute Care Hospitals · Atlanta, GA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110161
Location1000 Johnson Ferry Road, NEAtlanta, GA 30342 · Fulton County
Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30342 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
$130.64 typical visit price
range $56.84 – $172.43
Typical copayment $32.66 (range $14.21 – $43.10)
Most-billed visit code 99204
Established Patient
$100.20 typical visit price
range $18.22 – $140.40
Typical copayment $25.05 (range $4.55 – $35.10)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

90.38/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality87.09
Promoting Interoperability100
Improvement Activities40
Cost56.12

Other Providers at the Same Location NPPES 2

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

KELLIE ELISE WYDRINSKI PAC
Physician Assistant
980 JOHNSON FERRY RD STE 820
ATLANTA, GA 30342
Fulton County (404) 252-9307
SUDHISHA KUMARI JALA PA-C
Physician Assistant (Medical)
980 JOHNSON FERRY RD STE 820
ATLANTA, GA 30342
Fulton County (404) 252-9307

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 Michael Castillo's NPI number?

The NPI number for Michael Castillo is 1407389844. It was assigned to this individual provider in the NPPES registry on April 4, 2017.

Where is Michael Castillo located?

Michael Castillo practices at 980 Johnson Ferry Rd Ste 820, Atlanta, GA 30342. The listed phone number is (404) 252-9307.

What is Michael Castillo's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Is Michael Castillo enrolled in Medicare?

Yes. Michael Castillo 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 Michael Castillo accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee list Michael 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.

Is Michael Castillo affiliated with any hospitals?

According to CMS data, Michael Castillo is affiliated with Northside Hospital.

When was this NPI record last updated?

The NPPES record for Michael Castillo was last updated on February 27, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.