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Deactivated NPI 1831778331 Deactivated / Inactive NPI Female Practitioner

Dr. Toni Nicastro , DO

Pediatrics • Mesa, AZ

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Toni Nicastro has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date April 03, 2021
NPI Deactivation Date May 05, 2022
Total Practice Duration ~1 Years of Practice (2022 – 2022)

Professional Overview & Biography Verified Profile Summary

Dr. Toni Nicastro, DO was a registered Pediatrics in Mesa, AZ. Prior to record deactivation on 2022-05-05, Dr. Nicastro completed approximately 1 years of clinical practice following graduation from Rocky Vista University College Of Osteopathic Med in 2022.

Dr. Nicastro did not directly accept Medicare assignment.

Practice Location & Contact Primary Location

Practice Address

1705 W Main St

Mesa, AZ 852016920

Telephone 4809642273
Associated Practice Facility / Clinic
🏢 Adelante Healthcare, Inc. Facility NPI 1891853446

Medicare Profile & Education

Medical School

Rocky Vista University College Of Osteopathic Med

Graduation Year

2022

Medicare Assignment

Not Specified

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Pediatrics in Mesa, AZ

Rising Specialist (<5 Yrs)
Practitioner Clinical Experience
4 Yrs -17.1 yrs vs City Avg
City Avg: 21.1 Yrs
State Avg: 23.5 Yrs
Regional Practice Density
64 Specialists

Practicing in Mesa, AZ (1353 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Nicastro (4 Years) 4 Yrs
Mesa Specialty Average (21.1 Years) 21.1 Yrs

Medical Specialties & State Licenses

CMS Verified: 2025-07-22
Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

State License AZ 011629

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.

Pediatrics

NUCC Taxonomy Code: 208000000X

State License MI 5151015562

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.

Student in an Organized Health Care Education/Training Program

NUCC Taxonomy Code: 390200000X

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Eliza Fabian , LPC

Counselor - Professional

NPI 1003797721

Licensed Professional Counselor

Christopher Galdieri , LPC

Counselor - Professional

NPI 1023723962

Licensed Professional Counselor

Linda Kassir , LCSW

Social Worker

NPI 1023739950

Licensed Clinical Social Worker

Angelica Alcala , MSN, FNP-C

Nurse Practitioner - Family

NPI 1033829023

Master of Science in Nursing, Family Nurse Practitioner (Certified)

NPI 1053536805

Doctor of Osteopathic Medicine (D.O.)

Grace Ruettinger , PA

Nurse Practitioner - Psychiatric/Mental Health

NPI 1053796383

Physician Assistant

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

15 Historical Events
📍
Updated Business Mailing Address July 22, 2025

Registered at 3033 N CENTRAL AVE STE 145, PHOENIX, AZ 850122808 (Tel: 6235833001)

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Updated Practice Location June 16, 2025

Registered at 1705 W MAIN ST, MESA, AZ 852016920 (Tel: 4809642273)

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Updated Business Mailing Address June 16, 2025

Registered at 7603 E MINNEZONA AVE, SCOTTSDALE, AZ 852512101 (Tel: 3039198524)

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Medical Taxonomy / Specialty Registered (Primary Specialty) June 16, 2025

Pediatrics (License #5151015562 in MI)

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Updated Practice Location June 04, 2022

Registered at 3535 W 13 MILE RD, ROYAL OAK, MI 480736770 (Tel: 2485513000)

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Updated Business Mailing Address June 04, 2022

Registered at 3535 W 13 MILE RD, ROYAL OAK, MI 480736770 (Tel: 2485513000)

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Provider Name / Credentials Updated June 04, 2022

Recorded as TONI NICASTRO, DO

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Medical Taxonomy / Specialty Registered (Primary Specialty) June 04, 2022

Student in an Organized Health Care Education/Training Program

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NPI Profile Deactivated May 05, 2022

Record deactivated on May 05, 2022

NPI Profile Active April 03, 2021

NPI status registered as active in NPPES database

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Updated Practice Location April 03, 2021

Registered at 420 E SUPERIOR ST, CHICAGO, IL 606114494 (Tel: 3039198524)

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Updated Business Mailing Address April 03, 2021

Registered at 8401 S CHAMBERS RD, PARKER, CO 801349498

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Provider Name / Credentials Updated April 03, 2021

Recorded as TONI NICASTRO

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Medical Taxonomy / Specialty Registered (Primary Specialty) April 03, 2021

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration April 03, 2021

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1831778331
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 03, 2021
Last Update: July 22, 2025
Deactivation Date: May 05, 2022
Sole Proprietor: Yes

Mailing Address

3033 N Central Ave Ste 145

Phoenix, AZ 850122808

Phone: 6235833001

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.