Kendrick Ruelo De Castro, PA-C
Physician Assistant · Marietta, GA
Kendrick Ruelo De Castro, PA-C is a physician assistant with a practice address in Marietta, Georgia, and NPI 1235967050, issued on Jul 23, 2024. Check the license (Georgia 12626, as entered in NPPES) with the Georgia board that licenses this profession; the Medicare figures below come from public CMS files.
- Name
- Kendrick Ruelo De Castro
- Credential
- PA-C
- Primary taxonomy
- Physician Assistant 363A00000X
- License number
- 12626 GA
Self-reported in NPPES; status is on the state search - Practice location
- 400 Tower RD NE Ste 200, Marietta, GA 30060
- Phone
- (770) 422-1372
- Enumerated
- Jul 23, 2024
- Record last updated
- Oct 21, 2024
- Medicare enrollment
- Enrolled (PECOS I20241118000713); accepts Medicare assignment
- Entity
- Type 1 · individual
8 nearest physician assistant records → All 4,662 in Georgia → Look up another NPI →
Also registered at 400 Tower RD NE Ste 200
A shared address usually means a shared clinic or building; it does not show who employs whom.
- Abdel-Rauof AkkariStudent in an Organized Health Care Education/Training Program1669051462
- Tiffany Boulanger, AGACNPAcute Care Nurse Practitioner1700308509
- William Capland, PAPhysician Assistant1073234357
- Ashlee Castro-Scott, N.P.Acute Care Nurse Practitioner1376092015
- Kevin Chapla, M.D.Critical Care Medicine (Internal Medicine) Physician1225398175
- Nikulkumar Chaudhari, M.D.Critical Care Medicine (Internal Medicine) Physician1245526755
Verify Kendrick Ruelo De Castro in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersWhich Georgia board licenses this profession
Search for license 12626Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Industry payments in 2024: $33.69
1 payment: food and beverage; the largest payer was Genzyme Corporation. The 64,719 providers of this specialty with any payment received $841.65 on average. Payments are reported by manufacturers, not by the provider, and are not a sign of wrongdoing.
Source: CMS Open Payments, program year 2024 (openpaymentsdata.cms.gov); average among providers of this specialty with at least one payment.
Bills Medicare through one group practice
- Wellstar Medical Group LLCHiram, GA
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
Kendrick Ruelo De Castro among 4,662 physician assistant records in Georgia
Kendrick Ruelo De Castro, PA-C is one of 4,662 physician assistant records with a practice address in Georgia. 75% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2024, is newer than 84% of them.
- NPI issued2024 · 84% of these records are older, 9% newer
- In a Medicare fileYes · 75% of these records are
- In the CMS Doctors and Clinicians fileYes · 59% of these records are
- Graduated2024 · median 2018 among the 2,761 with a school on file
- Record last updated2024 · 40% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 363A00000X and a Georgia practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
209 physician assistant records list a practice address in Marietta
They are 209 of the 6,900 NPPES records with a practice address in Marietta, and 4,662 physician assistant records in Georgia.
All 4,662 in Georgia → Every provider in Marietta → Physician Assistant nationwide →
The 8 physician assistant records with the nearest ZIP codes
- Windy Bernard, PA-CMarietta, GA 300601487698957
- Bruno Grillo, PA-CMarietta, GA 300601457435133
- Peter Hairston, PA-CMarietta, GA 300601386633832
- Erika Hammond, PAMarietta, GA 300601114996295
- Susan Hollander, PA-CMarietta, GA 300601891770327
- Carrie Huebner, PA-CMarietta, GA 300601407814742
- Jon Khoury, PAMarietta, GA 300601154424463
- Kathleen Mackey, PA-CMarietta, GA 300601932104999
Common questions
What is Kendrick Ruelo De Castro, PA-C's NPI number?
Kendrick Ruelo De Castro, PA-C's National Provider Identifier (NPI) is 1235967050, issued on Jul 23, 2024. An NPI identifies a provider in billing; it is not a license.
Where is Kendrick Ruelo De Castro, PA-C located?
The NPPES record lists a practice address at 400 Tower RD NE Ste 200, Marietta, GA, 30060. Phone: (770) 422-1372. Providers update this record themselves, so call before visiting.
How can I verify Kendrick Ruelo De Castro, PA-C's license?
NPPES lists Georgia license number 12626, as entered by the provider. Search the Georgia board that licenses this profession; the NPPES record confirms identity only.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.