TIRSO A CASTILLO (MD) – Gastroenterology Physician, NPI 1083692560

TIRSO A CASTILLO (MD) is a healthcare provider. based in Marietta, Georgia. specializing in Gastroenterology Physician. They hold the professional credentials MD. They hold a License No. 048883 (GA). The NPI Number for TIRSO A CASTILLO (MD) is 1083692560

Main info

Male
40 Years Of Experience
Accepts Medicare Assignment
Name
TIRSO A CASTILLO (MD)
NPI
1083692560
Phone
(470) 267-1760
Address
677 Church St NE
Enumeration Date
5 January 2006
Last Update Date
12 July 2023

Doctor Profile

Medical School Name
PONCE SCHOOL OF MEDICINE
Secondary Phone
2293827120
Graduation Year
1986 (40 years ago)
PAC ID
6901949395
Group Practice PAC ID
2062745169
Professional Enrollment ID
I20100208000314

Contacts

Secure Messaging
tcastillo524218@directwellstar.org
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness85
Years active:20State licenses:1Other namesUpdated within 12 months

Provider Addresses for TIRSO A CASTILLO (MD)

  • 677 Church St NE

    Marietta, GA 300601101

    Phone: (470) 267-1760

    Type: Location

  • Blackhorse Avenue, Cabra East C ED, Dublin, County Dublin, Leinster, D07 HE48, Ireland

    DUBLIN, GA 310401528

    Phone: (478) 272-1366

    Fax: (478) 275-2322

    Type: Mailing

  • 111, Fairview Park Drive, Dublin, Laurens County, Georgia, 31021, United States

    DUBLIN, GA 310212501

    Phone: (478) 272-1366

    Fax: (478) 275-2322

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $21.

Total Amount is formed as General ($21) + Research ($0) + Ownership ($0) = $21.

Last reported payment date: 2023-09-13 • Largest payer in this snapshot: Boston Scientific Corporation ($21).

Total Amount

$21

General + Research + Ownership

Payments

1

Total payment records

General Amount

$21

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-09-13

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2010-02-08

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20100208000314IGastroenterologyGATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 30060)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 2062745169View full group profile
NameSpecialtyState
-GA
-GA
-GA
G A S T R O E N T E R O L O G YGA
Family Practice, Emergency MedicineGA
Internal Medicine, Critical Care (Intensivists), Pulmonary Disease, Pulmonary DiseaseMD
-GA
Internal MedicineGA
Pulmonary Disease, Critical Care (Intensivists), Internal Medicine, Sleep MedicineGA
-GA

Reviews

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Frequently asked questions

Is TIRSO A CASTILLO (MD) listed with a National Provider Identifier?
Yes — TIRSO A CASTILLO (MD) has NPI 1083692560 on file in the registry.
Is TIRSO A CASTILLO (MD) still an active registrant?
TIRSO A CASTILLO (MD) carries an active NPI according to the public dataset.
What clinical focus is listed for TIRSO A CASTILLO (MD)?
At a glance, TIRSO A CASTILLO (MD) is tied to Gastroenterology Physician. Clinical services aligned with this taxonomy classification.
Is TIRSO A CASTILLO (MD) located near Marietta?
TIRSO A CASTILLO (MD) currently maps to Marietta, Georgia in this extract.
When was this NPI issued?
Enumeration for TIRSO A CASTILLO (MD) is noted as January 5, 2006 where the registry provides it.

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