CORINNE D. COSTELLIC DO – NPI #1194955104
Surgery

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Health Care Provider Taxonomy Code for Surgery

CORINNE COSTELLIC is a surgeon located in TROY, MI. NPPES has assigned the NPI number 1194955104 to CORINNE COSTELLIC on July 24, 2009. It is a Type-1 NPI, indicating this NPI number is associated with an individual. According to the NPI Registry, there are 2 additional location(s) assigned to this provider which are listed below. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 208600000X from the Health Care Provider Taxonomy code set, which is classified as Surgery.

The NPI profile was previously updated about 4 years ago on Jul 14, 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 CORINNE COSTELLIC below.

NPI Profile for
CORINNE D. COSTELLIC

NPI Number
1194955104
Enumeration Date

(about 17 years ago)
Entity Type
Type-1  Individual (Female)
Legal Name
CORINNE D. COSTELLIC
Credentials
DO
Primary location
44199 DEQUINDRE RD STE 612
TROY, MI 48085-1128
Phone: (248) 964-5170 Fax: (248) 964-5175
2 Other location(s):
33101 Annapolis St
Wayne, MI 48184-2405
Phone: (734) 467-2670
Fax: (734) 467-5544
33155 Annapolis St
Wayne, MI 48184-2405
Phone: (734) 467-2670
Fax: (734) 467-5544
Mailing address
26901 BEAUMONT BLVD SUITE 3D
SOUTHFIELD, MI 48033-3849
Phone: (947) 522-1860 Fax: (947) 522-0307
Sole Proprietor
No
Updated
Certification Date
Jul 14, 2022

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.

Taxonomy Code(s)

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
208600000X
- Surgery (Primary)		 MI 5101018177
2086X0206X
- Surgery / Surgical Oncology		 MD H0079964

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.

Endpoint

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
44199 DEQUINDRE RD STE 612,
TROY, MI 77025-1669

Additional Information

Education
LAKE ERIE COLLEGE OF OSTEOPATHIC MEDICINE, ERIE - Graduated 2009
Accepts Medicare
This provider accepts Medicare-approved amount as payment in full. The Medicare-approved amount is the total the provider can be paid. When a provider accepts the Medicare-approved amount as payment, you won't be billed for more than the Medicare deductible & coinsureance.
Medicare Ordering & Referring
Provider can:
  • Refer to Part B
  • Order Durable Medical Equipment
  • Refer to Home Health Agency
  • Order Power Mobility Devices
Affiliations
CORINNE COSTELLIC is affiliated with the following medical group(s):
  • HOSPITAL
    • BEAUMONT HOSPITAL - DEARBORN
      18101 OAKWOOD BLVD
      DEARBORN, MI 48124
    • BEAUMONT HOSPITAL - WAYNE
      33155 ANNAPOLIS AVE
      WAYNE, MI 48184
    • BEAUMONT HOSPITAL, TROY
      44201 DEQUINDRE ROAD
      TROY, MI 48085

Why is my NPI data (personal information) being displayed publicly?
If you have an active NPI profile, your profile is required to be disclosed according to the FOIA and eFOIA. HIPAA also requires covered providers to share their NPI with other providers, health plans, clearinghouses and any entity that may need it for billing purposes.

How do I correct or change the NPI data displayed here?
At any time, providers can make changes to their NPI profile at NPPES. Login to NPPES to make changes online or call (800) 465-3203 for assistance. Changes made at NPPES will be reflected on this web site within a few days.

Can I hide my NPI profile from the public?
Unfortunately, No. The NPPES discloses health care provider data under the Freedom of Information Act to the public, which means anyone may request such information directly from the National Plan & Provider Enumeration System. See the complete CMS Data Dissemination Notice here.