OLGA KOSTAKOS MD
NPI 1396420584
Student in an Organized Health Care Education/Training Program in Essexville, MI
About Olga Kostakos Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
OLGA KOSTAKOS MD (NPI 1396420584) is an individual student in an organized health care education/training program in Essexville, Michigan, licensed in Michigan (4351051879) and active in the NPI registry since June 2023. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Olga Kostakos Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Other Providers at the Same Location NPPES 19
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
ESSEXVILLE, MI 48732
ESSEXVILLE, MI 48732
ESSEXVILLE, MI 48732
ESSEXVILLE, MI 48732
ESSEXVILLE, MI 48732
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 Olga Kostakos's NPI number?
The NPI number for Olga Kostakos is 1396420584. It was assigned to this individual provider in the NPPES registry on June 16, 2023.
Where is Olga Kostakos located?
Olga Kostakos practices at 1458 W Center Rd Ste 1, Essexville, MI 48732. The listed phone number is (989) 895-4625.
What is Olga Kostakos's specialty?
The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.
Is Olga Kostakos enrolled in Medicare?
Yes. Olga Kostakos is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Olga Kostakos was last updated on June 16, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Olga Kostakos, MD · NPI 1396420584
Student in an Organized Health Care Education/Training Program provider in Essexville, Michigan. Individual provider, active in the CMS NPPES registry since June 16, 2023.
## Identity
- **NPI:** 1396420584 (Entity type: Individual)
- **Enumerated:** June 16, 2023
- **Primary specialty:** Student in an Organized Health Care Education/Training Program · taxonomy 390200000X
- **State license:** 4351051879 (Michigan)
- **Sole proprietor:** No
## Practice location
- **Address:** 1458 W CENTER RD STE 1, Essexville, MI 48732-2151
- **Phone:** (989) 895-4625
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
## Record status
- **NPPES last updated:** June 16, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1396420584) · Data from the CMS NPPES public registry.