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AMY L KOSTISHACK MD
NPI 1114001856
Pediatrics in San Jose, CA

Active since October 25, 2006PECOS Enrolled
1993 MCKEE RD, EVC PEDIATRICS CLINIC, SAN JOSE, CA 95116(408) 885-5405 Get Directions Write a Review

NPPES record last updated: September 12, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Amy L Kostishack Md NPPES

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

AMY L KOSTISHACK MD (NPI 1114001856) is an individual pediatrics provider in San Jose, California, licensed in California (A79345) and active in the NPI registry since October 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1114001856
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameAMY L KOSTISHACKCredential: MD
Location Address1993 MCKEE RD, EVC PEDIATRICS CLINICSan Jose, CA 95116-1406
Mailing Address751 S Bascom AveSan Jose, CA 95128-2604 · (408) 885-5000
Phone(408) 885-5405
Sole ProprietorNo
Enumeration DateOctober 25, 2006
Last NPPES UpdateSeptember 12, 2007
✔ NPI 1114001856 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in CA · A79345
Definition
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.
1993 MCKEE RD, San Jose, CA 95116
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Other Identifiers 3

Medicaid00A793450CA
Medicare UPINI06646CA
Medicare PIN00A793450CA

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Amy L Kostishack Md 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95116 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$106.47 typical visit price
range $70.37 – $206.04
Typical copayment $26.61 (range $17.59 – $51.51)
Most-billed visit code 99203
Established Patient
$121.77 typical visit price
range $23.96 – $169.60
Typical copayment $30.44 (range $5.99 – $42.40)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

MS. RITA ARACELI DUARTE LCSW
Social Worker
1993 MCKEE RD, BUILDING C
SAN JOSE, CA 95116
Santa Clara County (408) 937-2269
MS. MELODIE KENNA TUBIS MSW, LCSW
Social Worker (Clinical)
1993 MCKEE RD
SAN JOSE, CA 95116
Santa Clara County (408) 926-7950
KHANH-VAN L CAO PHARM.D
Pharmacist
1993 MCKEE RD
SAN JOSE, CA 95116
Santa Clara County (408) 254-6392
ANTONIA MAITLAND CHARLES MD
Pediatrics
1993 MCKEE RD, EVC PEDIATRICS CLINIC
SAN JOSE, CA 95116
Santa Clara County (408) 885-5000
KATHLEEN MIEKO FUJINO MD
Obstetrics & Gynecology
1993 MCKEE RD, EVC OB/GYN CLINIC
SAN JOSE, CA 95116
Santa Clara County (408) 254-6337
SOFIA KANTOR MD
Internal Medicine
1993 MCKEE RD, EVC INTERNAL MEDICINE CLINIC
SAN JOSE, CA 95116
Santa Clara County (408) 885-5000
DWIGHT DAVID LIM MD
Internal Medicine
1993 MCKEE RD, VHC EVC INTERNAL MEDICINE CLINIC
SAN JOSE, CA 95116
Santa Clara County (408) 254-6331
MR. LORENZ K CHIU RPH
Pharmacist
1993 MCKEE RD
SAN JOSE, CA 95116
Santa Clara County (408) 254-6392

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 Amy Kostishack's NPI number?

The NPI number for Amy Kostishack is 1114001856. It was assigned to this individual provider in the NPPES registry on October 25, 2006.

Where is Amy Kostishack located?

Amy Kostishack practices at 1993 Mckee Rd Evc Pediatrics Clinic, San Jose, CA 95116. The listed phone number is (408) 885-5405.

What is Amy Kostishack's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Amy Kostishack enrolled in Medicare?

Yes. Amy Kostishack is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Amy Kostishack was last updated on September 12, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.