JOHN COSTELLO MD – NPI #1053302992
Pediatrics
A pediatrician expert in advanced life support for children from the term or near-term neonate to the adolescent. This competence extends to the critical care management of life-threatening organ system failure from any cause in both medical and surgical patients and to the support of vital physiological functions. This specialist may have administrative responsibilities for intensive care units and also facilitates patient care among other specialists.
JOHN COSTELLO is a physician located in CHARLESTON, SC. NPPES has assigned the NPI number 1053302992 to JOHN COSTELLO on October 31, 2005. It is a Type-1 NPI, indicating this NPI number is associated with an individual. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 2080P0203X from the Health Care Provider Taxonomy code set, which is classified as Pediatrics, specializing in Pediatric Critical Care Medicine
The NPI profile was previously updated about 4 years ago on Feb 18, 2022. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for JOHN COSTELLO below.
NPI Profile for
JOHN COSTELLO
(more than 20 years ago)
CHARLESTON, SC 29425 Phone: (843) 792-1414 Fax:
CHARLOTTE, NC 28275-1461 Phone: (843) 792-6200 Fax: (603) 893-8886
Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.
Identifiers for JOHN COSTELLO
Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.
See identifiers
| Description | Issuer | State | Identifier |
|---|---|---|---|
| OTHER | 217260 | MA | TUFTS HEALTH PLAN |
| OTHER | AETNA MA | MA | 3253447 |
| OTHER | BCBS MA | MA | J26530 |
| OTHER | BLUE CARE ELECT | MA | J26530 |
| OTHER | BMC HEALTHNET | MA | 26528 |
| OTHER | HARVARD PILGRIM | MA | AA9211 |
| OTHER | HMO BLUE | MA | J26530 |
| OTHER | NEIGHBORHOOD HEALTH PLAN | MA | 32292 |
| OTHER | NETWORK HEALTH | MA | 97288001 |
| OTHER | UNITED HEALTHCARE MA | MA | 25-01706 |
| MEDICAID | MA | 2014416 | |
| MEDICAID | RI | JC51504 |
A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.
| Taxonomy Classification / Specialization | State | License |
|---|---|---|
| 2080P0203X - Pediatrics / Pediatric Critical Care Medicine (Primary) |
SC | 52686 |
| 2080P0202X - Pediatrics / Pediatric Cardiology |
SC | 52686 |
| 208000000X - Pediatrics |
MA | 217260 |
The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.
Health Information Exchange (HEI)
HEI is the mobilization of health care information electronically across organizations within a region, community or hospital system. Endpoints provide a simple and secure way for participants to send authenticated, encrypted health information directly to known, trusted recipients over the internet such as primary care physicians, specialists, hospitals, labs, etc.
- Endpoint
- [email protected]
- Endpoint type
- Direct Messaging Address
- Endpoint Description
- Content Type
- Affiliation
- N
- Endpoint Location
-
171 ASHLEY AVE,
CHARLESTON, SC 77025-1669
Additional Information
- Refer to Part B
- Order Durable Medical Equipment
- Refer to Home Health Agency
- Order Power Mobility Devices
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See the complete CMS Data Dissemination Notice here.