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MICHAEL COSTELLO CRNP
NPI 1346067568
Internal Medicine - Cardiovascular Disease in Philadelphia, PA

Active since September 20, 2024PECOS Enrolled
1 CONVENTION AVE, PHILADELPHIA, PA 19104(215) 662-4000 Get Directions Write a Review

NPPES record last updated: September 20, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Michael Costello Crnp NPPES

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

MICHAEL COSTELLO CRNP (NPI 1346067568) is an individual cardiovascular disease provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (SP030589) and active in the NPI registry since September 2024. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1346067568
Entity TypeIndividualMale
Primary Taxonomy207RC0000X
Provider Legal NameMICHAEL COSTELLOCredential: CRNP
Location Address1 CONVENTION AVEPhiladelphia, PA 19104-4311
Mailing Address26 Radnor BlvdMarlton, NJ 08053-2316
Phone(215) 662-4000
Sole ProprietorNo
Enumeration DateSeptember 20, 2024
NPPES CertifiedSeptember 20, 2024
✔ NPI 1346067568 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
License✔ Licensed in PA · SP030589
Definition
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
1 CONVENTION AVE, Philadelphia, PA 19104
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Michael Costello Crnp 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.

Medicare Billing Reassignment

Medicare enrollment records show Michael Costello reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

University Of Penn-Medical Group
0.3 mi
Reproductive Endocrinology
3701 MARKET ST, 8TH FLOOR
Philadelphia, PA 19104
  • Reassigned Medicare billing, Pennsylvania enrollment
  • Also billed through NPI 1871981985 (Pennsylvania)
  • 3,488 clinicians in this Medicare group
NPI 1245628353 (215) 662-6100

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19104 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
$137.17 typical visit price
range $59.88 – $180.99
Typical copayment $34.29 (range $14.97 – $45.24)
Most-billed visit code 99204
Established Patient
$74.47 typical visit price
range $19.30 – $147.29
Typical copayment $18.61 (range $4.82 – $36.82)
Most-billed visit code 99213
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.

TIFFANY GARDNER
Pharmacist
1 CONVENTION AVE
PHILADELPHIA, PA 19104
Philadelphia County (267) 592-2401
TRISTAN S BOYER RN
Registered Nurse (Critical Care Medicine)
1 CONVENTION AVE
PHILADELPHIA, PA 19104
Philadelphia County (215) 662-4000
AMANDA LEE MCFALL PA-C
Physician Assistant (Medical)
1 CONVENTION AVE
PHILADELPHIA, PA 19104
Philadelphia County (302) 357-0138
MORGAN BOSAK
Pharmacist (Critical Care)
1 CONVENTION AVE
PHILADELPHIA, PA 19104
Philadelphia County (215) 327-5986
DR. SIDNEE NICHOLLS
Pharmacist
1 CONVENTION AVE
PHILADELPHIA, PA 19104
Philadelphia County (267) 862-1600
SARAH KATHERINE FIORDALISO
Registered Nurse
1 CONVENTION AVE
PHILADELPHIA, PA 19104
Philadelphia County (267) 862-3000
PATRICK MCMICHAEL
Registered Nurse (Neuroscience)
1 CONVENTION AVE
PHILADELPHIA, PA 19104
Philadelphia County (267) 250-2082
MEGAN COLLEEN FITZSIMMONS CRNP
Nurse Practitioner (Acute Care)
1 CONVENTION AVE
PHILADELPHIA, PA 19104
Philadelphia County (215) 662-4000

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 1346067568. It was assigned to this individual provider in the NPPES registry on September 20, 2024.

Where is Michael Costello located?

Michael Costello practices at 1 Convention Ave, Philadelphia, PA 19104. The listed phone number is (215) 662-4000.

What is Michael Costello's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Is Michael Costello enrolled in Medicare?

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

Which organization bills Medicare for Michael Costello's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Michael Costello reassigns Medicare benefits to University Of Penn-Medical Group (Philadelphia, PA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Michael Costello's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Michael Costello was last updated on September 20, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.