1. Home
  2. Directory
  3. Michigan
  4. Troy
  5. Physician Assistant
  6. NPI Profile

MICHAEL COSTELLO P.A.-C.
NPI 1083609192
Physician Assistant - Medical in Troy, MI

Active since September 14, 2005PECOS Enrolled
4967 CROOKS RD, SUITE 120, TROY, MI 48098(248) 952-1601(248) 952-5781 Get Directions Write a Review

NPPES record last updated: July 17, 2012. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Michael Costello P.a.-c. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MICHAEL COSTELLO P.A.-C. (NPI 1083609192) is an individual medical provider in Troy, Michigan, licensed in Michigan (5601003192) and active in the NPI registry since September 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1083609192
Entity TypeIndividualMale
Primary Taxonomy363AM0700X
Provider Legal NameMICHAEL COSTELLOCredential: P.A.-C.
Location Address4967 CROOKS RD, SUITE 120Troy, MI 48098-5801
Mailing Address4967 Crooks Rd, Suite 120Troy, MI 48098-5801 · (248) 952-1601 · Fax (248) 952-5781
Phone(248) 952-1601
Fax(248) 952-5781
Sole ProprietorNo
Enumeration DateSeptember 14, 2005
Last NPPES UpdateJuly 17, 2012
✔ NPI 1083609192 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License✔ Licensed in MI · 5601003192
4967 CROOKS RD, Troy, MI 48098
Open in Google Maps ↗

Other Identifiers 2

Medicare UPINP17422
Medicare ID-Type UnspecifiedN84320013

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Michael Costello P.a.-c. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
83 services13 patients

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. MUDASSIR ALI DAIMEE M.D.
Internal Medicine
4967 CROOKS RD, STE 130
TROY, MI 48098
Oakland County (248) 952-1601
MRS. ANDREA MARY SLOAN M.D.
Internal Medicine
4967 CROOKS RD, STE 130
TROY, MI 48098
Oakland County (248) 952-1601
DR. TONY NGUYEN M.D.
Internal Medicine
4967 CROOKS RD, STE 130
TROY, MI 48098
Oakland County (248) 952-1601
DR. NADARAJAN JANAKAN M.D.
Internal Medicine
4967 CROOKS RD, STE. 130
TROY, MI 48098
Oakland County (248) 952-1601
DR. PRITI VERMA M.D.
Internal Medicine
4967 CROOKS RD, SUITE 130
TROY, MI 48098
Oakland County (248) 952-1601
DAVID VANDENBERG M.D.
Internal Medicine
4967 CROOKS RD, SUITE 130
TROY, MI 48098
Oakland County (248) 952-1601
JENNIE BROOKS P.A.-C.
Physician Assistant (Medical)
4967 CROOKS RD, SUITE 130
TROY, MI 48098
Oakland County (248) 952-1601
DR. LAUREL ANN FLORES D.O.
Internal Medicine
4967 CROOKS RD, STE. 130
TROY, MI 48098
Oakland County (248) 952-1601

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Michael Costello's NPI number?

The NPI number for Michael Costello is 1083609192. It was assigned to this individual provider in the NPPES registry on September 14, 2005.

Where is Michael Costello located?

Michael Costello practices at 4967 Crooks Rd Suite 120, Troy, MI 48098. The listed phone number is (248) 952-1601.

What is Michael Costello's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Michael Costello enrolled in Medicare?

Yes. Michael Costello is registered in the Medicare PECOS enrollment system.

What insurance does Michael Costello accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company and 1 other insurer list Michael Costello as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Michael Costello was last updated on July 17, 2012. NPI Profile syncs with the weekly NPPES data releases published by CMS.