DR. ADALBERTO ROMAN CASTELLANOS M.D.
NPI 1639198385
Internal Medicine - Gastroenterology in Lexington, KY

Q: What is Adalberto Castellanos's NPI number?

The NPI number for Adalberto Castellanos is 1639198385. It was assigned to this individual provider in the NPPES registry on July 19, 2006.

Q: What is Adalberto Castellanos's specialty?

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

Active since July 19, 2006PECOS EnrolledAccepts Medicare Assignment

95.5/100

CMS Quality Rating

1780 NICHOLASVILLE RD STE 202, LEXINGTON, KY 40503(859) 260-5064 Get Directions Write a Review

NPPES record last updated: April 5, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Apr 5, 2021, Dec 7, 2020, May 7, 2018 (3 updates tracked since 2018).

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About Dr. Adalberto Roman Castellanos M.d. NPPES

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

DR. ADALBERTO ROMAN CASTELLANOS M.D. (NPI 1639198385) is an individual gastroenterology provider in Lexington, Kentucky, licensed in Kentucky (36158) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, is affiliated with Baptist Health Richmond, and is a graduate of Other (1988).

NPPES Registry Identity

NPI1639198385

Entity TypeIndividualMale

Primary Taxonomy207RG0100X

Provider Legal NameDR. ADALBERTO ROMAN CASTELLANOSCredential: M.D.

Location Address1780 NICHOLASVILLE RD STE 202Lexington, KY 40503-1412

Mailing Address1401 Harrodsburg Rd Ste B355Lexington, KY 40504-3747 · (859) 276-5262 · Fax (859) 277-6509

Phone(859) 260-5064

Sole ProprietorNo

Medical School CMSOtherGraduated 1988

Enumeration DateJuly 19, 2006

Last NPPES UpdateApril 5, 20213 updates tracked since enumeration

NPPES CertifiedApril 5, 2021

✔ NPI 1639198385 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians

Taxonomy Code207RG0100X

License✔ Licensed in KY · 36158

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.

1780 NICHOLASVILLE RD STE 202, Lexington, KY 40503

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Other Identifiers 9

Medicaid64039282KY

Other100015197KY · Railroad Medicare

Other2900152KY · United Healthcare

Other5436123KY · Aetna

Other000000185076KY · Bcbs

Other1106798KY · Wellcare Of Ky (medicaid)

Other922877KY · Anthem Bc/bs

Other1188015KY · Cha

OtherC23066KY · Cumberland Health

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Home State Health, Ambetter Health 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

Dr. Adalberto Roman Castellanos M.d. 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 ID5294915971

PECOS Enrollment IDI20110212000141

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 14

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.

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.

166 services164 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.

154 services150 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

96 services73 patients

Balloon dilation of esophagus, stomach, and/or upper small bowel using a flexible endoscope, less than 3.0 cm 43249

This procedure involves using a flexible tube with a camera, called an endoscope, to gently expand narrowed areas in your esophagus, stomach, or upper small bowel. A small balloon is inflated, making it easier for food and liquid to pass through. It's safe and effective.

92 services89 patients

Colorectal cancer screening; colonoscopy on individual at high risk G0105

Colorectal cancer screening, specifically a colonoscopy, is a preventive measure for those at high risk. A thin, flexible tube with a camera inspects the colon to spot any abnormal growths. This test helps detect potential issues early, enhancing the effectiveness of treatment.

42 services42 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

24 services24 patients

Removal of stone or debris from bile or pancreatic duct using a flexible endoscope 43264

This procedure, called an endoscopic retrograde cholangiopancreatography (ERCP), involves using a flexible tube with a camera (endoscope) to locate and remove stones or debris from your bile or pancreatic duct. It's a non-surgical method to clear the ducts, enhancing your digestive health.

19 services13 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

19 services19 patients

Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk G0121

Colorectal cancer screening, such as a colonoscopy, is a preventive measure to detect early signs of cancer in the large intestine. For individuals not at high risk, it's typically recommended at age 50. A small, flexible tube with a camera is used to examine your colon. It's a safe, effective way to catch issues early.

19 services19 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.

18 services18 patients

Injection beneath lining of large bowel using a flexible endoscope 45381

This procedure involves a flexible tube, called an endoscope, being inserted into the large bowel. A small needle is then passed through the tube to inject medication under the bowel lining. This is typically done to treat inflammation or bleeding.

15 services15 patients

Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43235

This procedure, known as an upper endoscopy, involves inserting a thin, flexible tube with a camera down the throat to examine the esophagus, stomach, and upper small bowel. It helps diagnose conditions like ulcers or inflammation.

14 services13 patients

Diagnostic exam of large bowel using a flexible endoscope 45378

This procedure, known as a colonoscopy, involves using a flexible tube with a light and camera to examine the large intestine. It helps detect any abnormalities such as polyps or inflammation. It's a standard procedure to ensure gut health.

13 services12 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

13 services13 patients

Hospital Affiliations CMS Care Compare 3

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

Baptist Health Richmond

Acute Care Hospitals · Richmond, KY

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number180049

Location801 Eastern BypassRichmond, KY 40475 · Madison County

Emergency services Birthing friendly

Baptist Health Corbin

Acute Care Hospitals · Corbin, KY

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number180080

LocationOne Trillium WayCorbin, KY 40701 · Whitley County

Emergency services Birthing friendly

Baptist Health Lexington

Acute Care Hospitals · Lexington, KY

4/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number180103

Location1740 Nicholasville RoadLexington, KY 40503 · Fayette County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 40503 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

$122.77 typical visit price

range $52.76 – $162.27

Typical copayment $30.69 (range $13.19 – $40.56)

Most-billed visit code 99204

Established Patient

$93.94 typical visit price

range $16.53 – $131.99

Typical copayment $23.48 (range $4.13 – $32.99)

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.

95.5/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored through an Alternative Payment Model

Quality

89.59

Promoting Interoperability

100

Improvement Activities

Leave this field empty

Other Providers at the Same Location NPPES 4

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

DR. JAMES STORMER PEZZI M.D.

Internal Medicine (Gastroenterology)

1780 NICHOLASVILLE RD STE 202
LEXINGTON, KY 40503

Fayette County (859) 260-5051

MS. BIANCA YVETTE WHITLOW APRN

Nurse Practitioner (Adult Health)

1780 NICHOLASVILLE RD STE 202
LEXINGTON, KY 40503

Fayette County (859) 260-5051

BROOKS RICHARDSON MD

Internal Medicine (Gastroenterology)

1780 NICHOLASVILLE RD STE 202
LEXINGTON, KY 40503

Fayette County (859) 260-5051

ROBIN SUTCLIFFE APRN

Nurse Practitioner (Family)

1780 NICHOLASVILLE RD STE 202
LEXINGTON, KY 40503

Fayette County (859) 260-5051

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 Adalberto Castellanos's NPI number?

The NPI number for Adalberto Castellanos is 1639198385. It was assigned to this individual provider in the NPPES registry on July 19, 2006.

Where is Adalberto Castellanos located?

Adalberto Castellanos practices at 1780 Nicholasville Rd Ste 202, Lexington, KY 40503. The listed phone number is (859) 260-5064.

What is Adalberto Castellanos's specialty?

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

Is Adalberto Castellanos enrolled in Medicare?

Yes. Adalberto Castellanos 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 Adalberto Castellanos accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Home State Health, Ambetter of Tennessee and Anthem Blue Cross and Blue Shield and 1 other insurer list Adalberto Castellanos 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 Adalberto Castellanos affiliated with any hospitals?

According to CMS data, Adalberto Castellanos is affiliated with Baptist Health Richmond, Baptist Health Corbin and Baptist Health Lexington.

When was this NPI record last updated?

The NPPES record for Adalberto Castellanos was last updated on April 5, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.