MRS. MARIA THERESA CASTILLO (PA) – Medical Physician Assistant, NPI 1093792616

MRS. MARIA THERESA CASTILLO (PA) is a healthcare provider. based in San antonio, Texas. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA. They hold a License No. PA04462 (TX). The NPI Number for MRS. MARIA THERESA CASTILLO (PA) is 1093792616

Main info

Female
22 Years Of Experience
Accepts Medicare Assignment
Name
MRS. MARIA THERESA CASTILLO (PA)
NPI
1093792616
Phone
(210) 253-3426
Address
621 CAMDEN ST
Enumeration Date
23 December 2005
Last Update Date
4 March 2010

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2102533426
Graduation Year
2004 (22 years ago)
PAC ID
2365470176
Group Practice PAC ID
6103063078
Professional Enrollment ID
I20050802001246
Address ID
TX782152100SA607XXSTXX302
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

8,491 PHYSICIAN ASSISTANT in TX

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Provider Addresses for MRS. MARIA THERESA CASTILLO (PA)

  • The Strand, Saint Marys, Camden County, Georgia, 31558, United States

    SAN ANTONIO, TX 78215

    Phone: (210) 253-3426

    Fax: (210) 477-1808

    Type: Mailing

  • Charles E Fry Vinyl Siding Inc, 202, Pawnee Road, Lake Ozark, Camden County, Missouri, 65049, United States

    SAN ANTONIO, TX 782151644

    Phone: (210) 253-3426

    Fax: (210) 477-1808

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 27 Open Payments records for all available years, with a total value of $774.

Total Amount is formed as General ($774) + Research ($0) + Ownership ($0) = $774.

Last reported payment date: 2024-12-16 • Largest payer in this snapshot: Ipsen Biopharmaceuticals, Inc ($273).

Total Amount

$774

General + Research + Ownership

Payments

27

Total payment records

General Amount

$774

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-16

Latest reported date

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: 2005-08-02

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
I20050802001246IPhysician AssistantTXTBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99213Established patient office or other outpatient visit, 20-29 minutes180154$0
99214Established patient office or other outpatient visit, 30-39 minutes1715$0
View full utilization report →

Insurance plans in this area (ZIP 78215)

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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: 6103063078View full group profile
NameSpecialtyState
G A S T R O E N T E R O L O G YTX
Nurse PractitionerTX
Nurse PractitionerTX
Internal MedicineAL
Nurse PractitionerTX
-TX
Gastroenterology, Internal MedicineTX
G A S T R O E N T E R O L O G YTX
Nurse PractitionerTX
P S Y C H I A T R YTX

Reviews

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Frequently asked questions

What is the registry number for MRS. MARIA THERESA CASTILLO (PA)?
The registry entry for MRS. MARIA THERESA CASTILLO (PA) shows NPI 1093792616.
Should I treat MRS. MARIA THERESA CASTILLO (PA) as an active provider?
Patients and plans typically see MRS. MARIA THERESA CASTILLO (PA) as active in the national extract.
What services align with MRS. MARIA THERESA CASTILLO (PA)'s listing?
MRS. MARIA THERESA CASTILLO (PA)'s public classification highlights Medical Physician Assistant. Clinical services aligned with this taxonomy classification.
What city is tied to MRS. MARIA THERESA CASTILLO (PA)?
The directory associates MRS. MARIA THERESA CASTILLO (PA) with San Antonio, Texas. Check all listed addresses for suites or satellite offices.
Can I export MRS. MARIA THERESA CASTILLO (PA)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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