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

Q: 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.

Q: What is Michael Costello's specialty?

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

Q: 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 22 months 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.

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: August 09, 2026.

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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, and ordering and referring status from the CMS PECOS system.

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.

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